Yearly Archives: 2015

Documenting Physician-Patient Encounters Vital to Diagnose and Treat Chronic Migraine

According to a new study presented at the 57th Annual Scientific Meeting of the American Headache Society, migraines may be underreported and under-treated in teen athletes. In most cases studied, it is unclear whether there occurred an exacerbation of primary … Continue reading

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Telemedicine Set to Be among the Hottest Digital Health Trends in 2015

As per Skip Fleshman, partner at Asset Management Ventures, telemedicine is poised to be this year’s major digital health trend. He opines this trend would appeal not only to younger patients, but also to older populations. Telemedicine is also cheaper … Continue reading

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EHR Replacement Increases in 2015

According to the 2015 EHR Software BuyerView report by Software Advice, a company that researches and provides review on software applications, found that most buyers of EHRs are choosing to replace their existing system. In their six years of research … Continue reading

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Study: Significant Lag Times Exist between Evaluating and Documenting Patient Pain Scores

When it comes to nursing transcription, frequent documentation of pain scores is very important for proper pain assessment and treatment. However, the study findings presented at the American Medical Informatics Association’s 2014 annual symposium highlight a significant delay on the … Continue reading

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Medical Transcription Could Address the Problem of Inconsistent EHR Documentation

Recording of physician notes and subsequent medical transcription to create transcripts is an effective means of ensuring that all clinical details are correctly documented. However, the entry of electronic health records has changed this practice and providers are now required … Continue reading

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Disparities in Electronic Charting of Allergy Information – Is EHR Transcription a Better Option?

Can electronic medical records eliminate the need for accurate medical transcription? This is a question frequently asked by providers who are used to dictating their medical notes and having them professionally transcribed. Let us consider this in the light of … Continue reading

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Pediatric Documentation for ICD-10

Being a specialty that already has a low financial margin, pediatric practices must ensure increased specificity in the documentation of their findings to avoid financial setback just after ICD-10 implementation. If pediatricians continue to follow the same documentation practice they have been … Continue reading

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Better Discharge Summaries to Reduce Hospital Readmission Risk

Discharging patients from the hospital is a complex and challenging process.  Every year, over 35 million hospital discharges occur in the United States. When a patient moves from an acute care setting to other levels of care such as a … Continue reading

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Surgical Errors on the Rise, Keep Your Operative Reports Accurate

A new state report covering Connecticut hospitals found that the number of adverse events in hospitals and other healthcare facilities reached 500 in 2013 i.e. double the number of 244 incidents reported in 2012. When it comes to surgical adverse … Continue reading

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How to Prevent Pathology Documentation Errors

Table of ContentsPre-analytic ErrorsAnalytic ErrorsPost-analytic ErrorsSynoptic Reporting vs. Medical TranscriptionHow Professional Voice-to-Text Services for Physicians Ensure Accurate Pathology Transcripts A pathology report is an important document that guides diagnostic and prognostic decisions. Pathology report accuracy is therefore critical to provide … Continue reading

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