How to keep good clinical records
نویسندگان
چکیده
Clinical record keeping is integral to good professional practice and the delivery of quality healthcare http://ow.ly/TicN305wiyc.
منابع مشابه
Assessment of Ability of User Education in Medical Records Module of Selected HIS in Isfahan University of Medical Sciences
Introduction: Hospital managers and service providers need to Hospital Information System (HIS) to increase the efficiency and effectiveness of the organization its goals. The basis for decision making, policymaking and planning at different levels of hospital management (including executive management, and clinical services) is detailed, accurate, timely and reliable information, and its inter...
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متن کاملHow long should I keep records?
The period of limitations is the period of time in which you can amend your tax return to claim a credit or refund, or that the IRS can assess additional tax. The below information contains the periods of limitations that apply to income tax returns. Unless otherwise stated, the years refer to the period after the return was filed. Returns filed before the due date are treated as filed on the d...
متن کاملThe art of record keeping in general practice.
Records. Why keep them? I have no doubt that some will say that they have no time to keep records-they are too busy; the answer to that is that if doctors keep good records they are not nearly so busy. They have the facts about their patients in front of them in black and white instead of in some inaccessible area of their brains. The patients get out of their surgeries in half the time; they a...
متن کاملEvaluation of the Effect of Presence of Health Information Technology Expert on Medical Records of Patients Admitted to Fatemeh Zahra Hospital, Sari, Iran
Background: Documenting medical records plays an important role in treatment and prevention. The purpose of this study was to evaluate the impact of the presence of health information technology experts in clinical wards on the documentation of hospital admissions files. Methods: In this descriptive cross-sectional study, 96 inpatient records in 2014 and 96 inpatient records in Fatemeh Zahra H...
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