Fillers A book that changed my practice

Problem oriented medical records

BMJ 2001; 322 doi: https://doi.org/10.1136/bmj.322.7281.275 (Published 03 February 2001) Cite this as: BMJ 2001;322:275
  1. Peter Savage, consulting surgeon
  1. Sidcup

    As part of my senior registrar training at St Mary's in the late 1960s I spent a year working on the cardiothoracic unit. It was while wrestling, both physically and mentally, with the two, three, or even four volumes of case notes of patients coming for cardiac surgery that I thought that there must be a better way of organising them.

    Help was at hand. A film of one of Lawrence Weed's presentations was shown in the medical school. His vivid demonstration of what he thought of disorganised and confusing case notes caught my imagination. Why could doctors not use a scientific methodology when recording their clinical findings? I was seized with a missionary fervour and for 35 years used the principles of the problem oriented …

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