Completeness of medical records of elderly women with breast cancer: a trend study

Conclusion Variables classified as regular, poor, and very poor showed a predominantly constant completeness trend, followed by an growing in non-completeness trend. Only one variable showed an improvement in completeness trend. Full recording of all patient data on medical record is an inherent task for the entire healthcare team. Such recording is fundamental to establish care protocols, develop research studies, as well as implement public health policies.
Source: Acta Paulista de Enfermagem - Category: Nursing Source Type: research