1. USO Y ABUSO DE ABREVIATURAS EN LAS HISTORIAS CLÍNICAS: UNA REFLEXIÓN SOBRE LA COMUNICACIÓN ENTRE PROFESIONALES DE LA SALUD Y LA INTERACCIÓN MÉDICO-PACIENTE.
- Author
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VELASCO-BENÍTEZ, CARLOS ALBERTO, MONTES, JOHN, and PATIÑO, MAURICIO
- Abstract
Introduction: The acronym, need to "linguistic economy" growing in the notes to physician practices, has become a key vocabulary and their indiscriminate use, involves risks of unintelligibility, being element in separation or misunderstanding communication. General objective: To determine the frequency of use of abbreviations in records of Pediatría General and Infectología Pediátrica from Hospital Universitario del Valle "Evaristo Garcia" (HUV) in Cali, Colombia. Specific objective: To reflect on the dangers of separation and misunderstanding in communication between health professionals and the doctor-patient interaction. Methodology: Abbreviations were revised from records of 200 children who were hospitalized in the HUV in Cali, Colombia, used by undergraduate medical students and postgraduate pediatrics and pediatricians and pediatric subspecialists to Universidad del Valle and the Hospital Universitario del Valle in Cali, Colombia. Results: There were 293 abbreviations and were written in 5759 opportunities, with an average of 28.79 times history (range 5-56), the most frequent was HR (heart rate = 210). Were most used by graduate students in pediatrics (31.3%). There was no meaning to 12 abbreviations (RHA, EE, RSPS, SSD, PP65, AH, D, IRA, CPI, ITS, MEO, CSPSVS) and 21 had more than two interpretations, being the SS abbreviation of more interpretations: weeks, social security, second and saline solution. Conclusions: Health professionals from HUV in Cali, Colombia, commonly used abbreviations, being some unintelligible and others with different meanings, what are dangers of separation and misunderstanding of communication between health professionals and health in children. [ABSTRACT FROM AUTHOR]
- Published
- 2014