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Bulletin, 1919, Vol. 4 (Classic Reprint)




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Excerpt from Bulletin, 1919, Vol. 4 In Relation to Hospital Success To create grim earnestness among hospitals in the matter of case records and to indicate the relation of case records to good hospital service are the purposes of these pages. The sheets or record-forms described in the following pages are published simultaneously by the College in Bulletin No. 2. Vol. IV. The sole object in issuing these two bulletins is to make for the better practice of medicine; and whatever value they may present toward this end springs from the good co-operation of the hospitals with the College in its program of hospital standardization. The keeping of case records in hospitals came about in a natural fashion. Long ago, as the practice of medicine developed into a profession, the more competent and conscientious practitioners made notes for themselves as to the physical condition of their various patients and as to what they did for their patients. These notes were aids to the memories of the doctors who made them, and a guide for other doctors when similar cases presented; they were an effort in the interest of the patient. Then by very swift degrees medicine became a more complex and exact science and the need for notes or records in clinical practice became more imperative; and as this process went on and great strides forward occurred in medical science like the discovery of bacteria, anæsthesia, and asepsis, there came a quick development of hospitals with their cleanliness, their laboratories, their X-ray apparatus, their dietitians, their trained nurses, and their case records. All of these advances are to aid the doctor in the care of his patients. The whole story of hospitals is one of natural evolution. Today the hospital is in a striking period of transition, changing from the kindly-disposed boarding house for sick people, which met a genuine need in its day, to the institution worth while on its own account, rendering service to the sick for which it assumes responsibility. In other words, the modern hospital is an institution where not only the competent study and treatment of sick people may occur, but where, also, the competent study and treatment of every man, woman, and child who enters its service as a patient do occur as a matter of clear-cut institutional policy. The remarkable success in recent years, financially and otherwise, of the comparatively few hospitals which have instituted and carried forward this policy indicates the lines of hospital advancement during at least the next decade. The reasons for the success of these hospitals are the quick appreciation and gratitude on the part of the public for the service rendered and the resultant bonds of confidence created between these hospitals and their communities. The wholesome factor of competition means among hospitals, as among individuals or among nations, that success and prosperity will come where due on the basis of merit. Test of Medical Patriotism But to return now to case records: First, what are these records? Second, what element are the records in the success of a hospital? About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.


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