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Author : Barbara Odom-Wesley
Publisher :
ISBN 13 : 9781584261834
Total Pages : 538 pages
Book Rating : 4.38/5 ( download)
Download or read book Documentation for Medical Records written by Barbara Odom-Wesley and published by . This book was released on 2008-08 with total page 538 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Cheryl Gregg Fahrenholz
Publisher :
ISBN 13 : 9781584262626
Total Pages : 744 pages
Book Rating : 4.21/5 ( download)
Download or read book Documentation for Health Records written by Cheryl Gregg Fahrenholz and published by . This book was released on 2013-01-01 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Cheryl Gregg Fahrenholz
Publisher :
ISBN 13 : 9781584265542
Total Pages : 488 pages
Book Rating : 4.4X/5 ( download)
Download or read book Documentation for Health Records written by Cheryl Gregg Fahrenholz and published by . This book was released on 2017 with total page 488 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Agency for Healthcare Research and Quality/AHRQ
Publisher : Government Printing Office
ISBN 13 : 1587634333
Total Pages : 396 pages
Book Rating : 4.38/5 ( download)
Download or read book Registries for Evaluating Patient Outcomes written by Agency for Healthcare Research and Quality/AHRQ and published by Government Printing Office. This book was released on 2014-04-01 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Author : Committee on Improving the Patient Record
Publisher : National Academies Press
ISBN 13 : 030957885X
Total Pages : 257 pages
Book Rating : 4.51/5 ( download)
Download or read book The Computer-Based Patient Record written by Committee on Improving the Patient Record and published by National Academies Press. This book was released on 1997-10-28 with total page 257 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most industries have plunged into data automation, but health care organizations have lagged in moving patients' medical records from paper to computers. In its first edition, this book presented a blueprint for introducing the computer-based patient record (CPR). The revised edition adds new information to the original book. One section describes recent developments, including the creation of a computer-based patient record institute. An international chapter highlights what is new in this still-emerging technology. An expert committee explores the potential of machine-readable CPRs to improve diagnostic and care decisions, provide a database for policymaking, and much more, addressing these key questions: Who uses patient records? What technology is available and what further research is necessary to meet users' needs? What should government, medical organizations, and others do to make the transition to CPRs? The volume also explores such issues as privacy and confidentiality, costs, the need for training, legal barriers to CPRs, and other key topics.
Author : Debra Sullivan
Publisher : F.A. Davis
ISBN 13 : 0803629974
Total Pages : 301 pages
Book Rating : 4.74/5 ( download)
Download or read book Guide to Clinical Documentation written by Debra Sullivan and published by F.A. Davis. This book was released on 2011-12-22 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: Develop the skills you need to effectively and efficiently document patient care for children and adults in clinical and hospital settings. This handy guide uses sample notes, writing exercises, and EMR activities to make each concept crystal clear, including how to document history and physical exams and write SOAP notes and prescriptions.
Author : Ronald W. Scott
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780834216303
Total Pages : 248 pages
Book Rating : 4.02/5 ( download)
Download or read book Legal Aspects of Documenting Patient Care written by Ronald W. Scott and published by Jones & Bartlett Learning. This book was released on 2000 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Second Edition Of Our Easy-To-Use Reference Takes A Risk Management Approach To Patient Care Documentation. It Shows Clinicians From A Wide Variety Of Disciplines How To Be Objective, Precise, Unambiguous, And Timely When Documenting Treatment-Related Matters. The Content Is Written In Straightforward Lay Language And Includes Sample Documentation Forms. The New Edition Includes Information On Computerized Documentation; Coverage Of Telehealth Issues; Updates On JCAHO, CARF, And NCQA Accreditation; And Documentation Problems Specific To Non-Hospital And Managed Care Settings.
Author : Ronald W. Scott
Publisher : Jones & Bartlett Learning
ISBN 13 : 9780763730468
Total Pages : 214 pages
Book Rating : 4.67/5 ( download)
Download or read book Legal Aspects of Documenting Patient Care for Rehabilitation Professionals written by Ronald W. Scott and published by Jones & Bartlett Learning. This book was released on 2006 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: Because communication among health care professionals can mean the difference between patient life and death, clear and effective patient care documentation is as important as the delivery of care itself. The rehabilitation professional faces formidable documentation responsibilities. Patient care documentation created by the rehabilitation professional must be accurate, comprehensive, concise, objective, and timely. In an interdisciplinary health care environment, documentation must also be expeditiously communicated to other professionals on the health care team.
Author : Lippincott Williams & Wilkins
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9781582555560
Total Pages : 454 pages
Book Rating : 4.67/5 ( download)
Download or read book Complete Guide to Documentation written by Lippincott Williams & Wilkins and published by Lippincott Williams & Wilkins. This book was released on 2008 with total page 454 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thoroughly updated for its Second Edition, this comprehensive reference provides clear, practical guidelines on documenting patient care in all nursing practice settings, the leading clinical specialties, and current documentation systems. This edition features greatly expanded coverage of computerized charting and electronic medical records (EMRs), complete guidelines for documenting JCAHO safety goals, and new information on charting pain management. Hundreds of filled-in sample forms show specific content and wording. Icons highlight tips and timesavers, critical case law and legal safeguards, and advice for special situations. Appendices include NANDA taxonomy, JCAHO documentation standards, and documenting outcomes and interventions for key nursing diagnoses.
Author : Maryland Medical Record Association. Ad hoc Committee on Documentation
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.72/5 ( download)
Download or read book Guide to Documentation Requirements in the Medical Record written by Maryland Medical Record Association. Ad hoc Committee on Documentation and published by . This book was released on 1977 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
