Problem-Oriented Medical Record in Electronic Healthcare System - Gheun-Ho Kim

Problem-Oriented Medical Record in Electronic Healthcare System

Guide to Systematic Writing

(Autor)

Buch | Hardcover
92 Seiten
2024 | 2024 ed.
Springer Nature (Verlag)
978-981-97-4188-5 (ISBN)
160,49 inkl. MwSt
Problem Oriented Medical Record (POMR) has been a standard of physicians’ record since it was introduced in 1968 by Dr. Lawrence Weed. Thus, this book will provided the right concept of POMR and correct way of medical writing, compatible with the principles of POMR.
Problem Oriented Medical Record (POMR) has been a standard of physicians’ record since it was introduced in 1968 by Dr. Lawrence Weed. However, many physicians are unaware of its principles and do not apply it in a correct way in clinical practice. This book will describe how to systematically write medical records for the diagnostic and therapeutic approaches. This book will cover principles and practice of POMR for care of inpatients and outpatients. The importance of medical records cannot be overemphasized, but many trainees are not educated for the right way of POMR. Thus, this book will provided the right concept of POMR and correct way of medical writing, compatible with the principles of POMR.

Gheun-Ho Kim MD, Department of Internal Medicine, Hanyang University College of Medicine, Seoul, South Korea

1. What is the medical record?.- 2. Problem versus Impression.- 3. POMR for inpatients.- 4. Admission note.- 5. Progress note.- 6. Discharge summary.- 7. POMR for outpatients.- 8. POMR in the era of electronic health record.

Erscheinungsdatum
Zusatzinfo 23 Illustrations, color; 1 Illustrations, black and white; VIII, 92 p. 24 illus., 23 illus. in color.
Sprache englisch
Maße 178 x 254 mm
Themenwelt Informatik Weitere Themen Bioinformatik
Medizin / Pharmazie Allgemeines / Lexika
ISBN-10 981-97-4188-2 / 9819741882
ISBN-13 978-981-97-4188-5 / 9789819741885
Zustand Neuware
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