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The paperless practice

机译:无纸化实践

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摘要

The excitement generated by the issue of improving veterinary medical records is on the level of mowing the lawn--each needs to be done. Medical records are the backbone of a veterinary practice. They provide valuable information concerning the care provided to animals. Yet, discussions with practitioners suggest minimal attention is paid to these documents. In private practice, for example, medical data are typically reviewed the next time the animal is presented for care or when the client calls with a concern or to ask questions. The feeling is that there has been essentially no other perceived need for medical information from primary care facilities. We talk often about what is in the medical records but infrequently about what needs to be included in a quality listing of medical information. Academia, for example, emphasizes recording and reviewing medical data, but there is apparently little educational emphasis on identifying the critical information a practitioner will need for his or her records in private practice. On graduation, the practitioner will use or adapt a commercially designed system to meet his or her needs.
机译:改善兽医病历的问题所带来的兴奋是在割草的层面上-每件事都需要做。病历是兽医工作的基础。他们提供了有关提供给动物的护理的宝贵信息。但是,与从业人员的讨论表明,对这些文件的关注很少。例如,在私人执业中,通常在下一次将动物出示看护时,或者在服务对象打扰或提出问题时,都会审查医疗数据。感觉是,基本上没有其他人认为需要初级保健机构提供医疗信息。我们经常谈论医疗记录中的内容,但很少谈论需要包含在医疗信息质量清单中的内容。例如,学术界强调记录和审查医学数据,但是显然没有什么教育重点在于确定执业者在私人执业中记录所需的关键信息。在毕业时,从业者将使用或改编商业设计的系统以满足他或她的需求。

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