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Assignment 6: Weaknesses of The Traditional Medical Record System

The document discusses some weaknesses of traditional medical record systems including issues with finding and accessing data quickly, redundancy and inefficiency in recording data, challenges for clinical research using chart review which can be arduous and prone to errors, and the passive nature of paper records which cannot actively respond to data recorded within.

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Fatimah Faqihi
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23 views

Assignment 6: Weaknesses of The Traditional Medical Record System

The document discusses some weaknesses of traditional medical record systems including issues with finding and accessing data quickly, redundancy and inefficiency in recording data, challenges for clinical research using chart review which can be arduous and prone to errors, and the passive nature of paper records which cannot actively respond to data recorded within.

Uploaded by

Fatimah Faqihi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Assignment 6

Weaknesses of the Traditional Medical Record System


first, that data cannot effectively serve the delivery of health
care unless they are recorded. Their optimal use depends on
positive responses to the following questions:

1. Pragmatic and Logistical Issues


• Can I find the data when I need them?
• Can I find the medical record in which they are recorded?
• Can I find the data within the record?
• Can I find what I need quickly?
• Can I read and interpret the data once I find them?
• Can I update the data reliably with new observations in a
form consistent with the requirements for future access by me
or other people?

2. Redundancy and Inefficiency

To be able to find data quickly in the chart, health


professionals have developed a variety of techniques that
provide redundant recording to match alternate modes of
access.
A similar inefficiency occurs because of in the design of
reporting forms used by many laboratories. Most health
personnel prefer a consistent, familiar paper form.

3. Influence on Clinical Research

Anyone who has participated in a clinical research


project based on chart review, it is arduous to sit with
stacks of patients’ charts, extracting data and formatting
them for structured statistical analysis, and the process is
vulnerable to transcription errors. Observers often
wonder how much medical knowledge is sitting
untapped in paper medical records because there is no
easy way to analyze experience across large populations
of patients without first extracting pertinent data from
.those charts

4. The Passive Nature of Paper Records

A manual archival system is inherently passive They are


insensitive to the characteristics of the data recorded
within their pages, such as legibility, accuracy, or
implications for patient management. They cannot take
an active role in responding appropriately to those
.implications

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