Poor Medical Records

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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 of a doctor’s duties in providing patient care. As well as handwritten clinical notes, medical …

Preventing Healthcare's Top Four Documentation …

https://library.ahima.org/doc?oid=107687

Preventing Healthcare's Top Four Documentation Disasters. By Mary Butler. One of the most famous cases in medical history that led to regulation of the number of hours that …

Expert Tips for Handling, Storing and Organizing Medical Records

https://www.gallaghermalpractice.com/blog/post/expert-tips-for-handling-storing-and-organizing-medical-records/

Poor records management increases the risk of these discrepancies occurring. When record-keeping discrepancies appear in malpractice cases, patients …

Problems With Electronic Health Records Linked to …

https://www.ahrq.gov/news/newsletters/e-newsletter/766.html

Hospitals using inadequate electronic health record (EHR) technology have higher rates of nurse dissatisfaction, burnout and intent to leave, as well as worsened …

Poor Quality Medical Records – Reasons and Solutions

https://www.mosmedicalrecordreview.com/blog/poor-quality-medical-records-reasons-and-solutions-to-address-them/

The medical record, apart from being the most important healthcare record, is a significant legal document when it comes to …

Issues in nursing documentation and record-keeping …

https://pubmed.ncbi.nlm.nih.gov/22241496/

Good quality record keeping is linked with improvements in patient care, while poor standards of documentation are regarded as contributing to poor quality nursing care. …

Incomplete Medical Records - Consequences and Solutions

https://www.medicaltranscriptionservicecompany.com/blog/incomplete-medical-records-consequences-and-solutions/

Medical record keeping is a vital element in providing the care that patients need and medical transcription companies play a vital role in ensuring accurate and …

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 …

The Consequences of Poor Medical Documentation

https://lhatrustfunds.com/news/the-consequences-of-poor-medical-documentation

Preventing Poor Documentation. This particular claim features two common risk management topics: Patient falls and poor documentation. As the above incident …

Improper Medical Documentation and Reporting Leads …

https://schwanerinjury.com/medical-documentation-error-lawsuit/

When doctors and physicians fail to properly record medical information, serious mistakes can be made that lead to injury or death. According to Johns Hopkins, more than 250,000 people in the United …

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