Patient Records and Computers
Authors: Edward H. Shortliffe, Paul C. Tang, Don E. Detmer
Journal: Annals of Internal Medicine (1991)

Editorials15 December 1991Patient Records and ComputersEdward H. Shortliffe, MD, PhD, Paul C. Tang, MD, Don E. Detmer, MDEdward H. Shortliffe, MD, PhD, Paul C. Tang, MD, Don E. Detmer, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-115-12-979 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptImprovement in clinical information-management systems is frequently cited as one strategy for coping with the cost and inefficiency of our health-care system (1, 2). Any clinician can testify to the wasted time and poor communication among providers that sometimes results because antiquated paper records still predominate in our offices and on the hospital wards. Problems with the paper record recur almost daily. Mr. Jones arrives in the office for a consultation, but the outside records have not arrived. Mrs. Smith was discharged from the hospital last week and returns for a follow-up appointment, but the inpatient chart and discharge summary...References1. GarrettHammondStead LWW. The effects of computerized medical records on provider efficiency and quality of care. Meth Inf Med. 1986;25:151-7. CrossrefMedlineGoogle Scholar2. McDonaldTierney CW. Computer-stored medical records: their future role in medical practice. JAMA. 1988;259:3433-40. CrossrefMedlineGoogle Scholar3. Weed L. Medical records that guide and teach. New Engl J Med. 1968;278:593-600, 652-7. CrossrefMedlineGoogle Scholar4. TufoSpeidel HJ. Problems with medical records. Medical Care. 1971;9:509-17. CrossrefMedlineGoogle Scholar5. Donnelly W. Righting the medical record: transforming chronicle into story. JAMA. 1988;260:823-5. CrossrefMedlineGoogle Scholar6. Burnum J. The misinformation era: the fall of the medical record. Ann Intern Med. 1989;110:482-4. LinkGoogle Scholar7. Pories W. 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Author, Article, and Disclosure InformationAuthors: Edward H. Shortliffe, MD, PhD; Paul C. Tang, MD; Don E. 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