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2 Redundancy and Ineffi ciency To be able to fi nd data quickly in the chart, health
professionals have developed a variety of tech-niques that provide redundant recording to
.match alternate modes of access
For example, the result of a radiologic study typically is entered on a standard radiology
reporting form, which is filed
in the portion of the chart labeled “X-ray.” For complicated procedures, the same data often
are summarized in brief notes by radiologists in the
narrative part of the chart, which they enter at the time of studies because they know that
the formal report will not make it back to the chart for 1 or 2
days. In addition, the study results often are men-tioned in notes written by the patient’s
admitting and consulting physicians and by the nursing
staff. Although there may be good reasons for recording such information multiple times in
dif-ferent ways and in different locations within the chart, the combined bulk of these notes
acceler-ates the physical growth of the document and, accordingly, complicates the chart’s
.logistical management
Furthermore, it becomes increas-ingly diffi cult to locate specific
patient data as the chart succumbs to “obesity”. The predictable
result is that someone writes yet another redun-dant entry, summarizing information that it
took hours to track down. A similar ineffi ciency occurs because of a tension between
opposing goals in the design of reporting forms used by many laboratories. Most health
personnel prefer a consistent, famil-iar paper form, often with color-coding, because it helps
them to fi nd information more quickly (Fig. 2.10 ). For example, a physician may know that a
urinalysis report form is printed on yel-low paper and records the bacteria count half-way
down the middle column of the form. This knowledge allows the physician to work back-
ward quickly in the laboratory section of the chart to fi nd the most recent urinalysis sheet
and to check at a glance the bacterial count. The prob-lem is that such forms typically store
only sparse information. It is clearly suboptimal if a rapidly growing physical chart is fi lled
.with sheets of paper that report only a single data element


النص الأصلي

2 Redundancy and Ineffi ciency To be able to fi nd data quickly in the chart, health
professionals have developed a variety of tech-niques that provide redundant recording to
.match alternate modes of access
For example, the result of a radiologic study typically is entered on a standard radiology
reporting form, which is filed
in the portion of the chart labeled “X-ray.” For complicated procedures, the same data often
are summarized in brief notes by radiologists in the
narrative part of the chart, which they enter at the time of studies because they know that
the formal report will not make it back to the chart for 1 or 2
days. In addition, the study results often are men-tioned in notes written by the patient’s
admitting and consulting physicians and by the nursing
staff. Although there may be good reasons for recording such information multiple times in
dif-ferent ways and in different locations within the chart, the combined bulk of these notes
acceler-ates the physical growth of the document and, accordingly, complicates the chart’s
.logistical management
Furthermore, it becomes increas-ingly diffi cult to locate specific
patient data as the chart succumbs to “obesity”. The predictable
result is that someone writes yet another redun-dant entry, summarizing information that it
took hours to track down. A similar ineffi ciency occurs because of a tension between
opposing goals in the design of reporting forms used by many laboratories. Most health
personnel prefer a consistent, famil-iar paper form, often with color-coding, because it helps
them to fi nd information more quickly (Fig. 2.10 ). For example, a physician may know that a
urinalysis report form is printed on yel-low paper and records the bacteria count half-way
down the middle column of the form. This knowledge allows the physician to work back-
ward quickly in the laboratory section of the chart to fi nd the most recent urinalysis sheet
and to check at a glance the bacterial count. The prob-lem is that such forms typically store
only sparse information. It is clearly suboptimal if a rapidly growing physical chart is fi lled
.with sheets of paper that report only a single data element


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