Documentation Of Case Recording Error In Electronic Medical Records

Nurse documentation and the electronic health record

https://www.myamericannurse.com/documentation-electronic-health-record/

If not used properly, the electronic health record (EHR) can create communication gaps. The nursing process can be applied to electronic documentation to avoid workarounds and close gaps in communication. Effective use the EHR can improve patient safety and care outcomes. Clinical documentation … See more

Documentation Matters Toolkit | CMS

https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Program/Education/Documentation

The Risks Of Electronic Health Record Documentation Errors

https://cardiomedlegal.com/45160/the-risks-of-electronic-health-record-documentation-errors/

The Risks of Electronic Health Record Documentation Errors. With the exponential growth of Electronic Health Care Records (EHRs) in healthcare, several risks …

Malpractice Claims Report: EHR Documentation Errors …

https://www.hcinnovationgroup.com/clinical-it/electronic-health-record-electronic-medical-record-ehr-emr/news/21161325/malpractice-claims-report-ehr-documentation-errors-still-far-too-common

Documentation is the most common risk management subcategory for EHRs, making up 72 percent of all EHR-related risk …

Correcting Errors In the Electronic Medical Record

https://flbog.sip.ufl.edu/risk-rx-article/correcting-errors-in-the-electronic-medical-record/

In the case of electronic records, the problem is that the correction of the lab report may potentially eliminate information that the physician relied on for a period of time. Also, the correction might be made …

Documentation Errors Related to Electronic Health …

https://www.omic.com/documentation-errors-related-to-electronic-health-records/

Still, errors do occur and inaccuracies in EHR documentation can have negative consequences for the physician-patient relationship. None of the scenarios discussed …

Poor Documentation: Why It Happens and How to Fix It

https://www.fortherecordmag.com/archives/0516p12.shtml

To put it simply, health care documentation is created by any person who documents within the health record, says Tammy Combs, RN, MSN, CCS, CCDS, CDIP, director of …

Patient Safety Errors are Common with Electronic Health …

https://www.healthitanalytics.com/news/patient-safety-errors-are-common-with-electronic-health-record-use

April 21, 2017 - Electronic health record users are highly prone to making medication errors that negatively impact patient safety, says the Pennsylvania Patient …

10 Common Electronic Health Records Errors

https://ilchiro.org/10-common-electronic-health-records-errors/

Lack of training in electronic health record requirements All doctors and staff should be thoroughly trained in the requirements for electronic health records. …

ELECTRONIC RECORD KEEPING GUIDANCE …

https://www.rcm.org.uk/media/4818/rcm_guidance-report_elec_record_keeping.pdf

Assessing and documenting risk in an electronic record is essential to providing safe effective midwifery care. Digital tools within electronic records have been built to support …