Key Elements in Nursing Documentation [INFOGRAPHIC]
Maintaining accurate and timely nursing records is essential for communication among all members of the patient’s healthcare team and to support the delivery of safe, appropriate and continuous care. Nurses are often accountable for creating the patient chart and updating all information from vital signs
Management Of Medical Records – Key Considerations
Proper medical record keeping is vital to ensure the care that patients need and medical transcription companies play a vital role in ensuring accurate and timely medical documentation. To maintain complete, accurate and concise medical records, it is important to document the patient encounter in
How To Prevent Laboratory Notes Transcription Errors [INFOGRAPHIC]
To ensure accurate and complete clinical documentation, many healthcare facilities rely on experienced medical transcription companies that provide EHR/EMR integrated transcription services. Laboratory notes are an important component of medical records. They include crucial details such as the experimental plans, observations, discussion of results and
Common Medical Record Documentation Errors To Watch Out For [INFOGRAPHIC]
Incomplete and inaccurate patient records can compromise care. Documentation errors can result in wrong medical advice being provided, increased billing mistakes and loss of reimbursement. Medical transcription services play an important role in ensuring accurate and timely healthcare documentation. The key to ensuring accurate and
How Medical Transcriptionists Preserve The Integrity Of The Medical Record [INFOGRAPHIC]
Even in this the age of electronic health records and speech recognition systems, human medical transcriptionists (MTs) still have a significant role to play in the healthcare system. They convert the physician’s dictated report into text format and highlight discrepancies for correction. Though this may
