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Accountability for Documentation

Emerging RN Leader

Recently, nurse leaders have talked with me about professional nurses who don’t document […] The post Accountability for Documentation appeared first on Emerging Nurse Leader. Ethicists have commented that there has been a change in the willingness of individuals to accept responsibility. for their behavior.

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Preparing for CERT Audits and Practicing Compliant Documentation

EvidenceCare

This comprehensive guide provides hospital and revenue cycle leadership with vital insights on preparing for CERT audits and establishing processes for compliant documentation. This section delves into the specific criteria and expectations set by CERT audits, emphasizing the need for meticulous attention to detail and documentation accuracy.

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12 tips for caring for patients with uncommon conditions

Scrubs

Communicate!” “Try to connect and as always document, document, document.” It would appear that communicating with your patient and their healthcare team is the common thread in the confusing web that is rare disease care. Families, on the other hand, are clueless most of the time.”

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Beyond Dictation: Emerging Trends in Physician Documentation

Mobius MD

Have you ever wondered what clinical documentation will look like in 20 years? Then again, if youre like most doctors, youre probably too busy catching up on EHR notes to think about emerging trends in physician documentation. Until recently, technology has improved documentation incrementally.

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Vyne Medical Auto-Indexing Solution Now Available To Hospitals and Health Systems

Electronic Health Reporter

Vyne Medical, a leading provider of electronic health information and communication management solutions, announces the launch of new functionality to help streamline hospital administrative functions. Auto-indexing accurately transforms documents and unstructured patient information into structured, […].

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Nursing: 5 things I wish I knew when I graduated

Scrubs

Use documentation for more than just patient care. Written communication with management staff is a powerful tool. Not only can written notes of encouragement or praise for your coworkers boost morale, but documentation of conflicts or questionable events can sometimes protect you from dismissal or lawsuits.

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How Do I Deal When an Angry Patient Threatens to Sue?

Scrubs

Document the patient’s behavior in ferocious detail. Maintain open lines of communication: Keep your supervisor or manager informed about the situation from the beginning. This may include saving emails, text messages, voicemails, or any other relevant documentation that can serve as evidence in the future. Don’t let him.