JACK FROOM, M.D.
A change to problem-oriented records was initiated in a 21-year-old solo primary practice generally limited to nonsurgical adult medical patients. The change was valuable because it produced a critical review of patients' problems. Important but neglected clinical data were unearthed. Three hundred charts were reviewed in depth, and complete problem sheets were constructed. An average of 6.4 minutes was necessary for each chart, but the median time for conversion of charts was slightly less than 5 minutes. An average of two charts were reviewed in each half-day office session. A change to problem-oriented records can be accomplished with a modest expenditure of time and effort, even in a busy established practice.
FROOM J. Conversion to Problem-Oriented Records in an Established Practice: A Timed Study. Ann Intern Med. ;78:254–257. doi: 10.7326/0003-4819-78-2-254
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Published: Ann Intern Med. 1973;78(2):254-257.
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