Background The quality of information recorded about patient care is considered key to
improving the overall quality, safety and efficiency of patient care. Assigning codes to …

Background: Large-scale data collection is an increasingly prominent and influential feature
of efforts to improve healthcare delivery, yet securing the involvement of clinical centres and …

Clinical documentation is an integral part of the healthcare professional's job. Good record
keeping is essential for patient care, accurate recording of consultations and for effective …

In contemporary care institutions, accountability procedures and devices are increasingly
pervasive and considered crucial for monitoring quality. Such accountability practices are …

Objective: In UK general practice, the coding of clinical data (Read Coding) is far from
universal. This study set out to examine the barriers to recording structured information in …

Introduction: This article presents some of the results of a year-long project in the Republic of
Ireland to review the quality of the hospital inpatient enquiry data for its use in activity-based …

Abstract The new General Medical Services contract was introduced into general practice in
the UK in 2004, and it links pay to performance far more than in the past. As a result …

Background Evidence suggests that many small-and medium-scale Electronic Health
Record (EHR) implementations encounter problems, these often stemming from users' …

Background: Clinical documentation is a fundamental component of patient care. The
transition from paper based to electronic medical records/electronic health records has …

Background Technological advances in clinical data capturing and storage systems have
led to recent attempts at disease surveillance and region specific population health planning …