The EHR was implemented to improve diagnosis, and reduce or prevent medical errors for improving patient outcomes. However, EHR is not totally fool proof and often fails to ensure accuracy, which leads to various mistakes including medication errors. The error rate can be reduced
Complete medical records are foundational to quality healthcare. They provide a comprehensive picture of a patient’s health journey, support accurate diagnoses and treatments, and reduce the risk of medical errors. Most healthcare organizations choose to partner with a medical transcription company to ensure proper
Chronic disease, which affects about half of all Americans at some point in their lives, poses a major problem and costs the United States an estimated $3.7 trillion annually, according to the American Action Forum. Chronic diseases such as heart disease, stroke, cancer,
A hospital discharge summary refers to a clinical report prepared by health professionals that outlines the details of the hospitalization of a patient. Lack of discharge details, diagnosis information or patient’s health status in discharge summaries can lead to poor treatment plans. A discharge
The Electronic Health Record (EHR) stores patient health information in digital format and provides physicians and other authorized users with the medical and treatment history of the patient. EHR adoption rates in the US have been on the rise and up to 79.7% of