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Development of an interinstitutional resident record completion policy
Topics in Health Information Management
|January 8, 1994
Abstract:
Seven hospitals in the Dayton, Ohio area collaborated in the development of generic record completion policies to assist with orientation of medical school residents. A uniform delinquent record policy was also developed, which defined the steps that would be taken if records remained incomplete. The interinstitutional policies resulted in a more cooperative atmosphere among residents, the medical school, and the hospitals, which contributed to improved quality of documentation and a decrease in the number of delinquent records by as much as 70 percent.