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The master patient index: split patient records
Abstract:
Systems integrators have overlooked the potential for corrupting the medical-record database through the creation of multiple (split) records for the individual patient. This article introduces a computer software technology that has been used at the University of California, San Francisco (UCSF) Medical Center to identify split patient records.
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Methods of Documentation II: POMR
Methods of Documentation III: PIE
Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:
Types of Records I: Unit and Nurses Records
Unit records can be divided into two main types: administrative records and clinical records.
Administrative records in...
Purpose of Health Records II
Methods of Documentation I: Source-Oriented Records
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following:
