Blank paper or printed set task forms for retrievable patient notes?
Patients' clinical notes made at review appointments following removal of third molars under a general anaesthetic at five Mersey Hospitals have been compared with those formed from the recording of the findings of preselected tasks. Consistent high quality retrievable records were achieved using the preselected task forms, superior to those formed on blank paper.
Wood
G D
GD
Department of Oral and Maxillofacial Surgery, Arrowe Park Hospital, Wirral, Merseyside.
Rhodes
N D
ND
D003796:Dental Service, Hospital; D005568:Forms and Records Control; D006801:Humans; D007258:Informed Consent; D008036:Lingual Nerve / Q000502:physiology; D008334:Mandible / Q000502:physiology; D008340:Mandibular Nerve / Q000502:physiology; D008499:Medical Records; D016347:Medical Records Systems, Computerized; D008964:Molar, Third / Q000601:surgery; D009068:Movement; D009910:Oral Hygiene; D010149:Postoperative Pain / Q000517:prevention & control; D012017:Referral and Consultation; D012677:Sensation; D014081:Tooth Extraction; D014095:Tooth, Impacted / Q000601:surgery