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Legibility, accuracy, specificity vital in records
- https://www.medicaleconomics.com/view/legibility-accuracy-specificity-vital-records
- The increasing prevalence of electronic health records should help address the issue of illegible medical records in the future. Of course, the main purpose of the record is to communicate with other healthcare professionals, and a legible record …
Medical record keeping: clarity, accuracy, and timeliness …
- https://www.bmj.com/content/348/bmj.f7716
- Wedad Abdelrahman and Abdelrahman Abdelmageed explain why it is important that these records are well maintained. Medical records are a fundamental part …
Importance of Preparing/Maintaining Legible Medical …
- https://www.hhs.gov/guidance/document/importance-preparingmaintaining-legible-medical-records
- This MLN Matters® Article Special Edition (SE) is intended for physicians and other providers who document treatment for Medicare beneficiaries and/or submit …
Liability Issues Related to Illegible Physician Documentat.
- https://assets.hcca-info.org/Portals/0/PDFs/Resources/library/Liability%20Illegible%20Physician%20Documentation.pdf
- on patient care resulting in improper medical treatment or the dispensing of the wrong medication. More specifically, illegibility can lead to: • Improper treatment of the patient …
The Importance of the Legal Health Record in …
- https://campus.ahima.org/audio/fastfacts/FRB0804.pdf
- Personal health records – (PHR) is an electronic, universally available, lifelong resource of health information needed by individuals to make health decisions. Individuals own and …
Accuracy and Legibility of Healthcare Records - Medical …
- https://medicalrecordcollation.com/accuracy-and-legibility-of-healthcare-records/
- Published Date: 22nd July 2020. It’s probably fair to say that anyone who has professional dealings with patients, service users, clients or their families will also know …
Poor Documentation: Why It Happens and How to Fix It
- https://www.fortherecordmag.com/archives/0516p12.shtml
- For a coder, "poor documentation would be defined as documentation that lacks the sufficient specificity to assign accurate diagnosis and procedure codes," Siegel says. In …
Incomplete Medical Records - Consequences and Solutions
- https://www.medicaltranscriptionservicecompany.com/blog/incomplete-medical-records-consequences-and-solutions/
- Medical records help healthcare providers evaluate the patient’s profile, make accurate diagnosis, analyze treatment results, and plan treatment protocols. …
Physician handwriting and recordkeeping failures and …
- https://favialawfirm.com/2020/01/15/physician-liability-handwriting-and-recordkeeping-impacting-medical-malpractice-cases/
- Physician handwriting and recordkeeping are important issues in medical malpractice cases. “Physicians’ bad handwriting or incomplete recordkeeping on paper or …
Poor Handwriting: Does it Lead to Medical Error? - ISQua
- https://isqua.org/resources-blog/blog/poor-handwriting-does-it-lead-to-medical-error.html
- Whilst no such explicit penalties exist in Australia, the Victorian Civil and Administrative Tribunal has made compulsory counselling sessions for practitioners to …
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