Abstract
The authors worked in a busy regional fracture unit, where it was noted that important
data was being omitted from the medical notes. In an attempt to improve on this, an
admission proforma was formulated. This was designed to be easily and quickly completed.
Notes were audited on 2 separate weeks, the first before, and the second after introduction
of the proforma.
The overall results demonstrate statistically significant improvements in documentation
with a proforma, and concur with the limited previous literature in this area.
Keywords
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References
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Article info
Publication history
Accepted:
July 12,
2010
Identification
Copyright
© 2010 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.