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BMJ 1995; 311 doi: (Published 16 September 1995) Cite this as: BMJ 1995;311:476
  1. Allan Spigelman
  1. Lead clinician Information Management and Technology Department, St Mary's Hospital, London W2 1NY

    EDITOR,--Jane Smith's synopsis of the Audit Commission's report Setting the Records Straight: A Study of Hospital Medical Records highlights several timely issues.1 2 For example, clinical contracts are settled on the basis of information derived from coded data generated without appreciable input from clinicians. This may lead to incorrect estimates of activity, with resulting contracts providing a poor reflection of clinical need. One approach to solving this problem is …

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