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A computerized chart management system for medical records

W E Groves, W R Davidson

    Computer Programs in Biomedicine
    |April 1, 1980
    PubMed
    Summary
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    This study introduces a computerized system to speed up in-patient medical record completion and reduce delays. The system aids communication between specialists and referring physicians for better patient care.

    Area of Science:

    • Health Informatics
    • Medical Record Management
    • Hospital Administration

    Background:

    • Effective communication between specialists and referring physicians is crucial for optimal patient care, especially for referred patients.
    • Delinquent medical records and long turnaround times pose significant challenges in hospital settings.

    Purpose of the Study:

    • To describe a computerized system designed to improve the turnaround time for in-patient medical records.
    • To address the issue of delinquent medical records within a hospital environment.

    Main Methods:

    • Development of a comprehensive computerized system comprising 22 programs, 2 sub-routines, and 4 data files.
    • Implementation of the system within the Medical Records Department to manage patient information and track record status.

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  • Generation of various reports, including outstanding records sorted by department/physician and those with pending charges.

    • Main Results:

    • The system effectively improves the turnaround time for completing in-patient medical records.
    • The computerized system successfully manages and reduces the incidence of delinquent records.
    • Generated reports provide valuable insights for departmental and physician-specific record management.

    Conclusions:

    • The described computerized system offers a viable solution for enhancing medical record completion efficiency.
    • Improved record management facilitates better communication and continuity of care between healthcare providers.
    • The system's design and functionality demonstrate its utility in optimizing hospital administrative processes.