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15 Major Components of a Complete Medical Record

WEBPhysical Examination: A complete head-to-toe evaluation of the patient’s physical state is included in the physical examination (PE) record. 4. Consent Form: It is …

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How the EHR changed the Medical Transcriptionist’s Role

WEBThe pressure for EHR (Electronic Health Record) adoption is increasing, thanks to the incentives assured and warnings of reimbursement cuts. Though electronic …

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What are the Modules of a Good EHR System

WEBThe essential components of an EHR system are as follows: Patient demographics and health data: EHRs are designed to enable the identification of individual patients in clinical work flows: Demographic information and patient identifiers -The patient demographic information that EHRs contain include age, gender, and ethnicity/race.

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What Physicians Should Know About Medical Transcription

WEBPartnering with an efficient company can ensure many benefits: precise and timely medical records, reduced administrative burdens, and a renewed focus on what …

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4 Common EHR Errors and How to Avoid Them

WEBSoftware bugs, disorganized data, system interface problems, and missing/corrupted data can affect decision making, and lead to delays, errors, …

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Avoiding Misinterpretations of Medical Abbreviations

WEBHere’s a list of common error-prone medical abbreviations, symbols, and dose designations and best practices (www.ismp.org): l – Liter: Lowercase letter l mistaken as …

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Medical Errors in Healthcare – Some Key Causes

WEBErrors with anesthesia. Missed or delayed diagnosis. Unnecessary delay in treatment. Failure to act on test or proper precautions. Inadequate follow-up treatment. According to the Agency for Healthcare Research and Quality, there are six common causes for medical errors: Miscommunication: Poor communication is one of the main …

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What is the Impact of Medical Terminology on Patient Care

WEBImpact of Medical Terminology on Patient Care. Medical terminology is the standardized language that allows healthcare providers, HIM professionals and medical …

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Major Trends and Challenges Facing the Healthcare Industry

WEBDigital technologies like artificial intelligence, machine learning, 3D printing, and nanotechnology are the future of healthcare industry. According to IMEG Corp and …

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Clinician collaboration in EMR documentation improves care

WEBUnlock the benefits of accurate, timely, and high-quality medical record documentation! Call (800) 670-2809 to contact our medical transcription company. …

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15 Key Components of Complete and Accurate Medical Records

WEBUnderstanding the 15 Key Components of Complete and Accurate Medical Records. Medical records hold critical information about a patient’s health status, …

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7 Key Challenges Of Charting Care

WEBHowever, charting presents several challenges: 1. Time constraints: Healthcare professionals often face time constraints due to their demanding workloads. …

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What Is The Difference Between EMR And EHR

WEBThe main difference between them is that while EMRs are maintained by a single provider, EHRs are maintained by multiple providers. EHR data can be created, managed, and accessed by authorized clinicians and staff across more than one healthcare organization as well as by patients themselves. As a result, EHRs contain more …

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Documenting Patient Allergy in the Electronic Health Record

WEBDrug allergies are usually overdiagnosed, misdiagnosed, and self-diagnosed, according to a commentary published by the Agency for Healthcare Research and …

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How to Use the EHR Copy-Paste Function Safely

WEBThe copy-paste functionality was designed to improve the ease and efficiency of clinical documentation, foster communication, and importantly, allow …

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Patient Privacy Rules and Ethical Considerations in Healthcare

WEBPhysicians have legal and ethical obligations to protect patient information from improper disclosure — disclosure of protected health information (PHI) to any person who is not authorized to see it. Maintaining the privacy and security of health information is critical for several reasons: Build trust: Maintaining patient confidentiality is

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Psychiatry Transcription Medical Transcription Company

WEBRead Our Case Studies! To discuss your requirements or to learn more about our psychiatry transcription service, call our toll free number 1-800-670-2809 any time. Get …

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Incomplete Medical Records

WEBThe consequences of incomplete medical records are: Lack of clarity in communication between physicians treating the patient leading to failure to follow …

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