Shortcuts In Medical Documentation

Tips and Tricks for Getting the Most out of …

https://www.hopkinsmedicine.org/news/articles/epic-shortcuts-experts-share-their-favorite-tips

Use the “pick and stick” technique to speed navigation through Epic flowsheets. Click on the “Doc Detail Report” link on the right side of the …

Documentation Bad Habits: Shortcuts in Electronic …

https://library.ahima.org/doc?oid=81008

Documentation shortcuts are tempting for busy clinicians. The innovation of the EHR, which allows for easier movement of information, has made it easier to reuse previous …

A-Z List of Common Medical Abbreviations, Acronyms

https://www.medicinenet.com/common_medical_abbreviations_and_terms/article.htm

Abbreviations, acronyms, and medical terminology are used for many conditions, and for instructions on medication prescribed by your doctor. This is a shortlist …

5 Best Practices for Medical Documentation - Clinical Advisor

https://www.clinicaladvisor.com/home/topics/practice-management-information-center/5-best-practices-medical-documentation/

Document Your Examination. Failure to document a physical examination is the most …

How to Master Medical Documentation Using Dot

https://www.statnote.com/how-to-master-medical-documentation-using-dot-phrases-in-3-easy-steps/

Opinion | Shortcuts in Medical Documentation - The New York …

https://www.nytimes.com/2012/11/23/opinion/shortcuts-in-medical-documentation.html

These tricks make it so easy for doctors to document the results of standard exams and conversations with patients that it appears more and more of them are being …

Abbreviations in documentation for nurses | NSO

https://www.nso.com/Learning/Artifacts/Articles/Abbreviations-in-Documentation-A-shortcut-to-disaster-for-Nurses

These methods include the use of abbreviations. The indiscriminate use of abbreviations can be extremely dangerous to you and your patient, besides being a major waste of …

Clinical documentation | How to document …

https://onthewards.org/how-to-document-well/

There are three fundamental reasons to keep in mind when striving for excellent documentation: 1. It’s a form of communication Good documentation promotes …

Nursing Documentation: How to Avoid the …

https://www.wolterskluwer.com/en/expert-insights/nursing-documentation-how-to-avoid-the-most-common-medical-documentation-errors

Here are some of the top 9 types of medical documentation errors: Sloppy or illegible handwriting Failure to date, time, and sign a medical entry Lack of …

Shortcuts in Medical Documentation | Leroy Hurt

https://leroyhurt.com/shortcuts-in-medical-documentation/

The advent of electronic medical records has been a boon to patient safety and physician efficiency in many ways. But it has also brought with it a slew of …