Accurate, complete and timely medical record documentation is critical for patient safety and care. Today, most healthcare organizations rely on medical transcription services to ensure well-documented electronic health records (EHRs). In fact, it is critical that an expert handles the task of transcribing the
Elderly patients make frequent visits to the emergency department. This is because as an individual grows older, the immune system becomes slower to respond, which increases the risk of getting sick. Medical documentation of elderly patients needs to be maintained properly so that appropriate
The electronic dental record (EDR) also known as the electronic oral health record is an electronic health record (EHR). The American Dental Association (ADA) defines the EDR as “a combination of processes and data structures, used by dentists, for purposes of documenting or conveying
Operative note is an important part of the medical chart that refers to a surgeon’s report and includes all necessary documentation regarding all the procedures ranging from what operation a patient had, what was found during surgery, and the post-operative instructions from the surgeon. Operative
Electronic health record (EHR) adoption in the United States has reached a new high at 89%, according to a recent SelectHub report. However, even as EHR systems are constantly evolving, usability issues still persist. Surveys have found that lack of user-friendliness and documentation issues