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Medical record abstraction in a hospital with paper-based records: experience of early career psychiatrists in northern Borneo
We used medical record abstraction to conduct research in a psychiatric hospital with paper-based medical records. The challenges we encountered included: the difficulty in retrieving files; the extensive effort and time needed to extract clinical information; the lack of a standardised documentatio...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283117/ https://www.ncbi.nlm.nih.gov/pubmed/32558818 http://dx.doi.org/10.1192/bji.2019.29 |
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author | Ahmad Shahabuddin, Farah Wah, Kheng Yee Buji, Ryna Imma Zulkafli, Nurul Syeema Lee, Shea Wah Soon, Hui Lee Yap, Siau Yun Law, Vuii Loo, Jiann Lin |
author_facet | Ahmad Shahabuddin, Farah Wah, Kheng Yee Buji, Ryna Imma Zulkafli, Nurul Syeema Lee, Shea Wah Soon, Hui Lee Yap, Siau Yun Law, Vuii Loo, Jiann Lin |
author_sort | Ahmad Shahabuddin, Farah |
collection | PubMed |
description | We used medical record abstraction to conduct research in a psychiatric hospital with paper-based medical records. The challenges we encountered included: the difficulty in retrieving files; the extensive effort and time needed to extract clinical information; the lack of a standardised documentation system of medical records; and the need for advanced computer literacy. To promote future research using electronic medical records, potential solutions include creating a registry of all patients receiving treatment, as well as equipping busy clinicians with computer skills. |
format | Online Article Text |
id | pubmed-7283117 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-72831172020-06-17 Medical record abstraction in a hospital with paper-based records: experience of early career psychiatrists in northern Borneo Ahmad Shahabuddin, Farah Wah, Kheng Yee Buji, Ryna Imma Zulkafli, Nurul Syeema Lee, Shea Wah Soon, Hui Lee Yap, Siau Yun Law, Vuii Loo, Jiann Lin BJPsych Int Global Echoes We used medical record abstraction to conduct research in a psychiatric hospital with paper-based medical records. The challenges we encountered included: the difficulty in retrieving files; the extensive effort and time needed to extract clinical information; the lack of a standardised documentation system of medical records; and the need for advanced computer literacy. To promote future research using electronic medical records, potential solutions include creating a registry of all patients receiving treatment, as well as equipping busy clinicians with computer skills. Cambridge University Press 2020-05 2019-12-02 /pmc/articles/PMC7283117/ /pubmed/32558818 http://dx.doi.org/10.1192/bji.2019.29 Text en © The Authors 2019 http://creativecommons.org/licenses/by-nc-nd/4.0/ http://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work. |
spellingShingle | Global Echoes Ahmad Shahabuddin, Farah Wah, Kheng Yee Buji, Ryna Imma Zulkafli, Nurul Syeema Lee, Shea Wah Soon, Hui Lee Yap, Siau Yun Law, Vuii Loo, Jiann Lin Medical record abstraction in a hospital with paper-based records: experience of early career psychiatrists in northern Borneo |
title | Medical record abstraction in a hospital with paper-based records: experience of early career psychiatrists in northern Borneo |
title_full | Medical record abstraction in a hospital with paper-based records: experience of early career psychiatrists in northern Borneo |
title_fullStr | Medical record abstraction in a hospital with paper-based records: experience of early career psychiatrists in northern Borneo |
title_full_unstemmed | Medical record abstraction in a hospital with paper-based records: experience of early career psychiatrists in northern Borneo |
title_short | Medical record abstraction in a hospital with paper-based records: experience of early career psychiatrists in northern Borneo |
title_sort | medical record abstraction in a hospital with paper-based records: experience of early career psychiatrists in northern borneo |
topic | Global Echoes |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283117/ https://www.ncbi.nlm.nih.gov/pubmed/32558818 http://dx.doi.org/10.1192/bji.2019.29 |
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