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Quality control of patient care--the practical application of problem oriented medical records.

Summary: The Weed system of problem oriented medical records has been successfully introduced into a general medical unit without the need for computers or specialised stationery. The change requires an increased time commitment by resident and senior staff and the development of a training programme in case record structuring for new staff. The system is acceptable to resident staff who recognise an improvement in their own training and in patient care. A weekly clinical audit has been an integral part of the system. A quality control procedure has been developed and applied to the management of myocardial infarction. This has involved identification of problem areas and formulation of a unit policy. It is felt that this procedure has resulted in an improvement in the quality of total patient care.