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Importance of Documentation - U.S. Department of …

    https://oig.hhs.gov/newsroom/oig-podcasts/importance-documentation/
    Good documentation is important to protect your patients. Good documentation promotes patient safety and quality of care. Complete and accurate medical recordkeeping can help ensure that your patients get the right care at the right …

The importance of the medical record: A critical …

    https://www.researchgate.net/publication/305174811_The_importance_of_the_medical_record_A_critical_professional_responsibility
    ... [1,2] Medical records are also an important tool in ensuring high-quality patient care, preventing undue delays and …

Advantages of Electronic Health Records - Office of the …

    https://www.healthit.gov/faq/what-are-advantages-electronic-health-records
    Enabling safer, more reliable prescribing Helping promote legible, complete documentation and accurate, streamlined coding and billing Enhancing privacy and security of patient …

THE IMPORTANCE OF CLINICAL DOCUMENTATION

    https://publishing.rcseng.ac.uk/doi/full/10.1308/rcsbull.2014.96.1.18
    In its key document Good Medical Practice, the General Medical Council (GMC) states that in providing care the doctor must keep clear, accurate and legible …

Documentation of clinical care in hospital patients' …

    https://pubmed.ncbi.nlm.nih.gov/27105479/
    Background: Clinical documentation is essential for communication between health professionals and the provision of quality care to patients. Objective: To examine …

Why Medical and Healthcare Records Are So Important

    https://www.chartercollege.edu/news-hub/why-keeping-good-medical-records-so-important
    A detailed medical record could, in fact, save someone’s life. Here are just four reasons why this documentation is so important: EHRs Inform the Doctor: A doctor …

Importance of medical record documentation - Novitas …

    https://www.novitas-solutions.com/webcenter/portal/MedicareJL/pagebyid?contentId=00027438
    The medical record should be complete and legible. The documentation of each patient encounter should include: the date; reason for the encounter; appropriate history and …

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 continuity of care …

Patient Documentation: Why Is It So Important for Your …

    https://miosuperhealth.com/patient-documentation-why-is-it-so-important-for-your-medical-record/
    A medical record with proper patient documentation can hurry this process. It can also reduce the likelihood of any difficulty with processing a claim or making a …

THE IMPORTANCE OF CLINICAL DOCUMENTATION

    https://www.researchgate.net/publication/285055222_THE_IMPORTANCE_OF_CLINICAL_DOCUMENTATION
    To address the problematic pattern of ISNCSCI documentation in the acute care setting, clinicians should receive formal education on the ISNCSCI protocol and the …



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