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The Origins and Promise of Medical …

    https://journalofethics.ama-assn.org/article/origins-and-promise-medical-standards-care/2004-12
    In 1981, the American College of Physicians and the Blue Cross and Blue Shield Association launched the Clinical Efficacy …

Health Information Management History: Past, …

    https://www.rasmussen.edu/degrees/health-sciences/blog/health-information-management-history/
    Medical records in the information age. Paper medical records were steadily maintained from the 1920s onward, but the advancing technology of the ‘60s and ‘70s introduced the beginnings of a …

Standardized Nursing Documentation Supports Evidence …

    https://pubmed.ncbi.nlm.nih.gov/27332244/
    Abstract. Nursing documentation is crucial to high quality, effective and safe nursing care. According to earlier studies nursing documentation practices vary and nursing …

Guidelines for Medical Record Documentation

    https://www.ncqa.org/wp-content/uploads/2018/07/20180110_Guidelines_Medical_Record_Documentation.pdf
    Commonly Accepted Standards for Medical Record Documentation 1. Each page in the record contains the patient’s name or ID number. 2. Personal biographical data include …

The Benefits of Standardization in Healthcare Systems

    https://link.springer.com/chapter/10.1007/978-3-030-80744-3_7
    Industrial standardization made advances in the United States in the 1920s, when use of the assembly line enabled mass production . The benefits of …

Document Patient History - The Hospitalist

    https://www.the-hospitalist.org/hospitalist/article/123646/document-patient-history
    History of present illness (HPI): This is a description of the present illness as it developed. It is typically formatted and documented with reference to location, quality, severity, timing, …

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 …

History Of Standardization In Medical Documentation

    https://dayofdifference.org.au/h-medical/history-of-standardization-in-medical-documentation.html
    In a 1990 report on medical standards of care, the Institute of Medicine established a taxonomy of standards that remains relevant today [1]. According to this taxonomy, the …

History And Importance Of Standardization In Medical …

    https://dayofdifference.org.au/h-medical/history-and-importance-of-standardization-in-medical-documentation.html
    In 1926 when Sir Henry Dale prepared the first International Standard for insulin and it was adopted by the League of Nations Health Organization (the forerunner of the World …

History and Physicals - Understanding the Requirements …

    https://www.jointcommission.org/standards/standard-faqs/hospital-and-hospital-clinics/provision-of-care-treatment-and-services-pc/000002272/
    The medical staff must determine, based on state-specific law and regulation (Scope of Practice), the extent to which a Dentist or Podiatrist may complete a …



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