Volume 11. Printed Maternal, Neonatal and Child Case Records

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“We haven’t throw away all our radios

because television has been invented.

and Paper is not obsolete now that we have electronic records”

Summary

In acute hospital medicine in most hospitals in the world, paper cannot (yet?/ever?) be abandoned; especially for client-held records - and probably also for hospital records of continuing clinical care.

But if paper is to be complementary to highly complex EPRs, then more attention will need to be given to the quality and content of such paper records.

But the diffusion of information about the design of such casenotes has until now been mainly a matter of chance.

The long term aim of this volume will therefore be
a) to facilitate access to as many different designs as possible,
b) to suggest various principles which should be followed in their design,
c) to explore what items may sometimes or always be included in such records
and d) to suggest which data items might need to be standardised and which can be left flexible.

In time it may assist in the process of developing a standard national (international?) paper record which matches the specification for a national (international?) maternity EPR set.of flow-patterned, chronologically arranged definitions of questions and allowable answer options. However because of the flexibility of paper compared with electronic datasets there is far less need for any kind of standardisation, especially since standardisation inevitably handicapped attempts at creative innovation (1.8.10)

Introduction

We haven