What are the Documentation Requirements for the Anesthesia Record?
Documenting anesthesia care in the patient’s medical record accurately and thoroughly is essential to communicate the patient’s anesthetic experience. The anesthesia record should document relevant anesthesia-related information in an accurate, complete, and legible manner. Anesthesia care comprises three phases: preanesthesia, intraoperative/intraprocedural anesthesia and postanesthesia
How Can Physicians Find More Time To Provide Quality 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 with a rising influx of patients with chronic conditions, flu, and other infectious diseases, making time to provide the
What Are The Main Parts Of Operative Notes?
Transcribing operative notes, surgical reports, and other surgical documentation requires meticulous attention to detail.
Operative notes are the detailed and comprehensive documentation of a surgical procedure that is recorded by the surgical team. These notes are typically dictated by the primary surgeon or other
How Medical Transcription Services Help Dentists To Have Accurate Medical Records
Given the importance of clinical documentation and record keeping in providing optimal patient care, it is an essential component of practice management. It becomes a serious issue, though, when you have to devote too much of your valuable time to keeping track of your
Dos And Don’ts Of Managing Clinical Records [INFOGRAPHIC]
Medical 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 records should be updated at
