Abstract
Accurate clerking is vital in ensuring optimal management of medical patients. Previous studies have highlighted the importance of pro forma use in maintaining documentation standards. This study aimed to refine an existing clerking pro forma and explored the subsequent impact of transition to electronic patient records (EPR). A single centre retrospective analysis was conducted at Barnet General Hospital, Royal Free NHS Trust, over a year (January–December 2018). All patients (n=60) were admitted during medical take to the acute or …
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