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Preventing Healthcare's Top Four Documentation …

    https://library.ahima.org/doc?oid=107687
    Having incomplete documentation can have patient safety impacts like those discussed at the beginning of this article, as well as negative reimbursement impacts. ... One technique that has improved outpatient documentation is the use of medical scribes, according to …

Issues in nursing documentation and record-keeping …

    https://pubmed.ncbi.nlm.nih.gov/22241496/
    Record keeping is an essential part of nursing practice with clinical and legal significance. Good quality record keeping is linked with improvements in patient care, while poor …

Poor Documentation: Why It Happens and How to Fix It - For The …

    https://www.fortherecordmag.com/archives/0516p12.shtml
    May 2016. Poor Documentation: Why It Happens and How to Fix It. By Juliann Schaeffer. For The Record. Vol. 28 No. 5 P. 12. The suspects and solutions are as diverse as the …

Poor Documentation Hazardous To Patient Health

    https://www.healthitoutcomes.com/doc/poor-documentation-hazardous-to-patient-health-0001
    Poor Documentation Hazardous To Patient Health. Journal of AHIMA examines revival of Clinical Documentation Improvement programs. Advancements in …

Clinical documentation improvement: …

    https://sciencecentre.3mcanada.ca/articles/clinical-documentation-improvement-impact-and-importance-for-your-hospital
    The impact of clinical documentation improvement on hospital funding. It is crucial that hospitals accurately reflect the …

Documentation Bad Habits: Shortcuts in Electronic …

    https://library.ahima.org/doc?oid=81008
    Trites has witnessed poor practices firsthand while working as an auditor. The most common is copying information from a previous encounter and pasting it as current …

The Consequences of Poor Medical Documentation

    https://lhatrustfunds.com/news/the-consequences-of-poor-medical-documentation
    This claim study demonstrates how poor documentation habits can both alter a nurse’s credibility and hinder a healthcare facility’s ability to successfully defend itself …

Poor Quality Medical Records – Reasons …

    https://www.mosmedicalrecordreview.com/blog/poor-quality-medical-records-reasons-and-solutions-to-address-them/
    The consequences of poor documentation are not minor, but they are major and real. Patient safety issues are the main concern among many others. Another chief concern is the financial …

Incomplete Medical Records - Consequences and Solutions

    https://www.medicaltranscriptionservicecompany.com/blog/incomplete-medical-records-consequences-and-solutions/
    The consequences of incomplete medical records are: Lack of clarity in communication between physicians treating the patient leading to failure to follow through …

The risk and consequences of clinical miscoding due to …

    https://pubmed.ncbi.nlm.nih.gov/19293434/
    In particular, the impact of miscoding due to inadequate medical documentation on hospital funding was examined. Appropriate reimbursement of hospital revenue in the …



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