All physicians know that patient outcomes depend on successful communication. Open communication can help providers obtain more complete information from patients, improve the prospects of a more accurate diagnosis, and promote proper counseling, thus potentially improving patient adherence to treatment … Continue reading
Read MoreTable of ContentsWhy CDI is Vital for Patient CarePurposes of Clinical DocumentationStrategies to Improve EHR Clinical Documentation and Save Physicians’ TimeOther RecommendationsBenefits of Clinical Documentation Improvement Clinical documentation comprises all the information relating to each patient’s encounters with a healthcare … Continue reading
Read MoreTable of ContentsClinical Documentation in Behavioral HealthRole of Mental Health Transcription Services Clinical documentation is the capture of clinical information at the patient encounter. Clear, accurate, consistent, complete, timely, and legible clinical documentation is necessary to reflect the patient’s condition and … Continue reading
Read MoreTable of ContentsProblems Associated with the Use of Medical AbbreviationsCareless use of medical abbreviations and acronyms in the medical recordCommon Medical Abbreviation Errors Medical abbreviations and acronyms or “acceptable” terms that physicians and other healthcare professionals generally use in patients’ … Continue reading
Read MoreTable of ContentsTranscribing Medication Orders Medication Transcription ErrorsPrevent Medication Documentation Errors with Outsourced Medical Transcription Services Many prescriptions are now computer-generated, but may also be hand-written and paper-based. In many healthcare systems, nurses are responsible for medication transcription, which involves … Continue reading
Read MoreTable of ContentsNeed for Effective Time ManagementStrategies for Physicians to Save Time for Patient Care Getting important work done in a day is every professional’s dream. For physicians, efficient time management can ensure more time to provide quality care. When faced … Continue reading
Read MoreMedical records are a fundamental element in the provision of patient care. Good clinical records aid – coordination and continuity of care, and informed decision making for patient management. It can also improve availability of data for malpractice litigation. Patient … Continue reading
Read MoreTable of ContentsImportance of Good Clinical Records Maintaining Good Clinical Records – Dos and Don’ts Good clinical records are essential for the delivery of quality healthcare, to maintain continuity of care, and to share information between different healthcare professionals. Once … Continue reading
Read MoreThe medical industry is continually changing, and cutting-edge technologies are enhancing medical procedures. Better patient care and increased patient safety are the results of numerous breakthroughs. The advancements in medical transcribing are an obvious evidence of this change. Physician dictation … Continue reading
Read MoreThis is an update to our blog: Sharing Notes with Patients – What Physicians Need to Know Good medical record keeping is essential for the delivery of quality healthcare and to support communication between different healthcare professionals. With the widespread … Continue reading
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