Being a specialty that already has a low financial margin, pediatric practices must ensure increased specificity in the documentation of their findings to avoid financial setback just after ICD-10 implementation. If pediatricians continue to follow the same documentation practice they have been following, the diagnoses will map
Accurate pediatric documentation is not only essential for effective care and treatment for the child, but also plays a significant role in ensuring patient safety. A UK based study identified different types of pediatric safety incidents and found documentation-related errors among the most frequently cited
It is very important to maintain quality and accuracy when documenting pediatric post-take ward rounds (PTWR) since care is evaluated, and coordinated care plans are formulated during this time. This documentation task often left to junior doctors is quite challenging as these rounds are multidisciplinary
A complete and accurate reporting of all hospital-acquired infections (HAIs) is critical in pediatric care as HAIs are associated with longer hospital stays, longer ventilation times, increased cost and adverse neuro-developmental outcomes in children. Electronic health records or EHRs are quite effective for reporting HAIs
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