The problem oriented clinical record

Detalhes bibliográficos
Autor(a) principal: Barreto, J. Vasco
Data de Publicação: 2008
Outros Autores: Paiva, Paulo
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://revista.spmi.pt/index.php/rpmi/article/view/1478
Resumo: Apart from its legal, institutional, investigational and pedagogical dimensions, the Clinical Record is an operational tool and a decisive component in medical care, contributing to and reflecting quality. In an attempt to approach basic science paradigms, doctors have been trying to find a rational and organized way of executing their records. In 1968, Lawrence Weed proposed a record system that became known as Problem Oriented Clinical Record. This system was particularly directed to general specialties, which in the Hospital means Internal Medicine. At the Santo António General Hospital, this is the adapted record system used in Internal Medicine wards. In the present article, the authors revisit the system that was proposed by Weed and present it from a personal perspective, in light of their experience in the institution.
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spelling The problem oriented clinical recordO registo clínico orientado por problemasregisto clínicoproblemasLawrence WeedMedicina Internaclinical recordproblemsLawrence WeedInternal MedicineApart from its legal, institutional, investigational and pedagogical dimensions, the Clinical Record is an operational tool and a decisive component in medical care, contributing to and reflecting quality. In an attempt to approach basic science paradigms, doctors have been trying to find a rational and organized way of executing their records. In 1968, Lawrence Weed proposed a record system that became known as Problem Oriented Clinical Record. This system was particularly directed to general specialties, which in the Hospital means Internal Medicine. At the Santo António General Hospital, this is the adapted record system used in Internal Medicine wards. In the present article, the authors revisit the system that was proposed by Weed and present it from a personal perspective, in light of their experience in the institution.Além das suas dimensões medico-legais, institucionais, investigacionais e pedagógicas, o Registo Clínico é um instrumento operacional e um componente decisivo dos cuidados médicos, que contribui para a sua qualidade e a reflecte. Numa tentativa de se aproximar das práticas das ciências básicas, os médicos têm procurado encontrar uma forma organizada e racional de executar os seus registos. Em 1968, Lawrence Weed propôs um sistema de registo que ficou conhecido como Registo Clínico Orientado por Problemas, vocacionado sobretudo para as especialidades generalistas, nomeadamente, e em meio hospitalar, a Medicina Interna. Nos Serviços de Medicina Interna do Hospital Geral de Santo António, este é o modelo de registo utilizado. No presente artigo, os autores revisitam o sistema proposto por Weed e apresentam-no de uma perspectiva pessoal, à luz do que tem sido a experiência adquirida ao longo dos anos na instituição onde trabalham.Sociedade Portuguesa de Medicina Interna2008-09-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://revista.spmi.pt/index.php/rpmi/article/view/1478Internal Medicine; Vol. 15 No. 3 (2008): Julho/ Setembro; 201-206Medicina Interna; Vol. 15 N.º 3 (2008): Julho/ Setembro; 201-2062183-99800872-671Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spmi.pt/index.php/rpmi/article/view/1478https://revista.spmi.pt/index.php/rpmi/article/view/1478/1022Barreto, J. VascoPaiva, Pauloinfo:eu-repo/semantics/openAccess2023-01-07T06:10:42Zoai:oai.revista.spmi.pt:article/1478Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:29:39.360608Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv The problem oriented clinical record
O registo clínico orientado por problemas
title The problem oriented clinical record
spellingShingle The problem oriented clinical record
Barreto, J. Vasco
registo clínico
problemas
Lawrence Weed
Medicina Interna
clinical record
problems
Lawrence Weed
Internal Medicine
title_short The problem oriented clinical record
title_full The problem oriented clinical record
title_fullStr The problem oriented clinical record
title_full_unstemmed The problem oriented clinical record
title_sort The problem oriented clinical record
author Barreto, J. Vasco
author_facet Barreto, J. Vasco
Paiva, Paulo
author_role author
author2 Paiva, Paulo
author2_role author
dc.contributor.author.fl_str_mv Barreto, J. Vasco
Paiva, Paulo
dc.subject.por.fl_str_mv registo clínico
problemas
Lawrence Weed
Medicina Interna
clinical record
problems
Lawrence Weed
Internal Medicine
topic registo clínico
problemas
Lawrence Weed
Medicina Interna
clinical record
problems
Lawrence Weed
Internal Medicine
description Apart from its legal, institutional, investigational and pedagogical dimensions, the Clinical Record is an operational tool and a decisive component in medical care, contributing to and reflecting quality. In an attempt to approach basic science paradigms, doctors have been trying to find a rational and organized way of executing their records. In 1968, Lawrence Weed proposed a record system that became known as Problem Oriented Clinical Record. This system was particularly directed to general specialties, which in the Hospital means Internal Medicine. At the Santo António General Hospital, this is the adapted record system used in Internal Medicine wards. In the present article, the authors revisit the system that was proposed by Weed and present it from a personal perspective, in light of their experience in the institution.
publishDate 2008
dc.date.none.fl_str_mv 2008-09-30
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revista.spmi.pt/index.php/rpmi/article/view/1478
url https://revista.spmi.pt/index.php/rpmi/article/view/1478
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://revista.spmi.pt/index.php/rpmi/article/view/1478
https://revista.spmi.pt/index.php/rpmi/article/view/1478/1022
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Medicina Interna
publisher.none.fl_str_mv Sociedade Portuguesa de Medicina Interna
dc.source.none.fl_str_mv Internal Medicine; Vol. 15 No. 3 (2008): Julho/ Setembro; 201-206
Medicina Interna; Vol. 15 N.º 3 (2008): Julho/ Setembro; 201-206
2183-9980
0872-671X
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