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Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
Defining the gold standard: What is success in electronic health record documentation?
Blair P Golden1, Michelle M Kelly2, Andrew P J Olson3
1Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.
No abstract available in PubMed .
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Methods of Documentation VII: EMR
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Guidelines for Nursing Documentation I
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Guidelines for Nursing Documentation II
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
Purpose of Health Records I
Here's a breakdown of how health records serve these purposes: