A chartless record--is it adequate?

Journal Article (Journal Article)

The computerized medical record supported by The Medical Record (TMR) has been the only record of physician-patient encounters on the nephrology service of the Durham Veterans Administration Medical Center since April 1981. Physicians using the system evaluated the adequacy of the computerized record as a replacement for the paper chart. The computerized record was able to capture and display all pertinent data. Manual or computerized narratives provided a useful supplement to the core computerized record only in those rare instances that a physician needed to point out which of the data in the record were important to his decision making.

Full Text

Duke Authors

Cited Authors

  • Stead, WW; Hammond, WE; Straube, MJ

Published Date

  • April 1, 1983

Published In

Volume / Issue

  • 7 / 2

Start / End Page

  • 103 - 109

PubMed ID

  • 6688264

International Standard Serial Number (ISSN)

  • 0148-5598

Digital Object Identifier (DOI)

  • 10.1007/BF00995117


  • eng

Conference Location

  • United States