Problem orientated medical records (POMR) : guidelines for therapists

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The current emphasis on quality assurance is highlighting the need to audit clinical practice in all branches of medicine. In order to undertake this task requires adequate, legible records which contain the relevant data. This booklet has been produced in response to the demand for information on the record keeping section of the Problem Orientated Medical System and deals only with the Problem Orientated Medical Record. The information has been kept brief for easy reference, the style is simple and examples are included. Physiotherapists and those from other medical disciplines who wish to accept the challenge of transferring to this system of record keeping will find this a useful tool for effecting the change.

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