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Erratum: A literature review of medical record keeping by foreign medical teams in sudden onset disasters( )

机译:勘误:外国医疗队在突发性灾害中保存病历的文献回顾()

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Background Medical records are a tenet of good medical practice and provide one method of communicating individual follow-up arrangements, informing research data, and documenting medical intervention. Methods The objective of this review was to look at one source (the published literature) of medical records used by foreign medical teams (FMTs) in sudden onset disasters (SODs). The published literature was searched systematically for evidence of what medical records have been used by FMTs in SODs. Findings The style and content of medical records kept by FMTs in SODs varied widely according to the published literature. Similarly, there was great variability in practice as to what happens to the record and/or the data from the record following its use during a patient encounter. However, there was a paucity of published work comprehensively detailing the exact content of records used. Interpretation Without standardization of the content of medical records kept by FMTs in SODs, it is difficult to ensure robust follow-up arrangements are documented. This may hinder communication between different FMTs and local medical teams (LMTs)/other FMTs who may then need to provide follow-up care for an individual. Furthermore, without a standard method of reporting data, there is an inaccurate picture of the work carried out. Therefore, there is not a solid evidence base for improving the quality of future response to SODs. Further research targeting FMTs and LMTs directly is essential to inform any development of an internationally agreed minimum data set (MDS), for both recording and reporting, in order that FMTs can reach the World Health Organization (WHO) standards for FMT practice. Jafar AJN, Norton I, Lecky F, Redmond AD.
机译:背景技术医疗记录是良好医疗实践的宗旨,并提供了一种沟通个人跟进安排,告知研究数据和记录医疗干预措施的方法。方法:本综述的目的是研究外国医疗队(FMT)在突发性疾病(SOD)中使用的病历的一个来源(已发表的文献)。系统地搜索了已发表的文献,以证明FMT在SOD中使用了哪些医疗记录。结果根据公开的文献,FMT在SOD中保存的病历的样式和内容千差万别。类似地,在实践中,在患者遇到病人之后,记录和/或记录中的数据发生了什么变化。但是,很少有已发表的著作全面详细地说明了所使用记录的确切内容。解释如果不对FMT在SOD中保存的病历内容进行标准化,则很难确保有力的后续安排得到记录。这可能会阻碍不同的FMT与本地医疗团队(LMT)/其他FMT之间的交流,后者可能随后需要为个人提供后续护理。此外,如果没有报告数据的标准方法,则所执行的工作情况将不准确。因此,没有坚实的证据基础可以提高未来对SOD响应的质量。直接针对FMT和LMT的进一步研究对于为国际公认的最小数据集(MDS)的记录和报告制定任何最新信息至关重要,以便FMT可以达到世界卫生组织(WHO)的FMT实践标准。 Jafar AJN,诺顿一世,莱基·F,雷德蒙德。

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