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Title Computerized Nursery Discharge Summary
Author(s) F. Jelovsek, R. Smith, L. Blackmon, W. Hammond
Source Methods of Information in Medicine, Vol. 16, No. 4, Pages 199-204
Publication Date 1977
Abstract Expansion of a computerized obstetric medical record to include newborn nursery information is described. Data sheets are entered for each infant discharged, and a computer-typed discharge summary is generated which abstracts information originally gathered by obstetric and pediatric medical personnel. The system has improved communication with medical providers who administer follow-up care after discharge and has replaced some physician dictation effort, especially in the Full Term Nursery. In the Intensive Care Nursery the summary has not been successful because the data collected is not felt adequate to describe the chronology of a long hospitallization. Comparison of the computer record and manual discharge diagnosis sheet is presented.


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