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Documentation For Health Records


Documentation For Health Records
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Documentation For Health Records


Documentation For Health Records
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Author : Cheryl Gregg Fahrenholz
language : en
Publisher:
Release Date : 2017

Documentation For Health Records written by Cheryl Gregg Fahrenholz and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.




Documentation For Medical Records


Documentation For Medical Records
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Author : Barbara Odom-Wesley
language : en
Publisher:
Release Date : 2008-08

Documentation For Medical Records written by Barbara Odom-Wesley and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008-08 with Medical informatics categories.




Documentation For Health Records Third Edition


Documentation For Health Records Third Edition
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Author :
language : en
Publisher:
Release Date : 2025-02-19

Documentation For Health Records Third Edition written by and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2025-02-19 with categories.




Healthcare Documentation


Healthcare Documentation
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Author : Ellen A. Drake
language : en
Publisher: Prentice Hall
Release Date : 2014

Healthcare Documentation written by Ellen A. Drake and has been published by Prentice Hall this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014 with Medical records categories.


Ideal for learners with no prior experience and those seeking refresher training, Healthcare Documentation: Fundamentals and Practice, 4/e is the most comprehensive healthcare documentation learning system available. It begins with a thorough overview of the medicolegal and technology aspects of healthcare documentation, including key trends such as electronic health records, security, privacy, and speech recognition. Next, it provides integrated content linked to 10 hours of authentic medical dictation practice. Extensive exercises in the text combine with online audio exercises to systematically reinforce core knowledge and build critical thinking, editing, and research skills. The final chapter focuses on finding employment and preparing students for the workplace, professional development, and continuing education. This edition has been extensively revised for the latest industry trends and techniques, contains many new learning features, and offers a compelling new full-color design with many new illustrations.



Documentation For Health Records


Documentation For Health Records
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Author : Cheryl Gregg Fahrenholz
language : en
Publisher:
Release Date : 2013-01-01

Documentation For Health Records written by Cheryl Gregg Fahrenholz and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2013-01-01 with Medical categories.




Complete Guide To Documentation


Complete Guide To Documentation
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Author : Lippincott Williams & Wilkins
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2008

Complete Guide To Documentation written by Lippincott Williams & Wilkins and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Medical categories.


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.



Portable Health Records In A Mobile Society


Portable Health Records In A Mobile Society
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Author : Egondu R. Onyejekwe
language : en
Publisher: Springer Nature
Release Date : 2019-09-06

Portable Health Records In A Mobile Society written by Egondu R. Onyejekwe and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2019-09-06 with Medical categories.


This book details how electronic health records (EHRs) and medical records (EMRs) can be optimized to enable meaningful interactions between provider and patient to enhance quality of care in this new era of mHealth. As the technologies evolve to provide greater opportunities for mHealth applications, so do the challenges. This book addresses the issues of interoperability limitations, data processing errors and patient data privacy while providing instruction on how blockchain-like processes can potentially ensure the integrity of an externally maintained EHR. Portable Health Records in a Mobile Society identifies important issues and promising solutions to create a truly portable EHRs. It is a valuable resource for all informaticians and healthcare providers seeking an up-to-date resource on how to improve the availability, reliability, integrity and sustainability of these revolutionary developments in healthcare management.



Electronic Health Records


Electronic Health Records
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Author : Jerome H. Carter
language : en
Publisher: ACP Press
Release Date : 2008

Electronic Health Records written by Jerome H. Carter and has been published by ACP Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2008 with Medical categories.


Resource added for the Health Information Technology program 105301.



Legal Aspects Of Documenting Patient Care


Legal Aspects Of Documenting Patient Care
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Author : Ronald W. Scott
language : en
Publisher: Jones & Bartlett Learning
Release Date : 2000

Legal Aspects Of Documenting Patient Care written by Ronald W. Scott and has been published by Jones & Bartlett Learning this book supported file pdf, txt, epub, kindle and other format this book has been release on 2000 with Business & Economics categories.


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.



Nursing Documentation Made Incredibly Easy


Nursing Documentation Made Incredibly Easy
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Author : Kate Stout
language : en
Publisher: Lippincott Williams & Wilkins
Release Date : 2018-06-05

Nursing Documentation Made Incredibly Easy written by Kate Stout and has been published by Lippincott Williams & Wilkins this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-06-05 with Medical categories.


Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Feeling unsure about the ins and outs of charting? Grasp the essential basics, with the irreplaceable Nursing Documentation Made Incredibly Easy!®, 5th Edition. Packed with colorful images and clear-as-day guidance, this friendly reference guides you through meeting documentation requirements, working with electronic medical records systems, complying with legal requirements, following care planning guidelines, and more. Whether you are a nursing student or a new or experienced nurse, this on-the-spot study and clinical guide is your ticket to ensuring your charting is timely, accurate, and watertight. Let the experts walk you through up-to-date best practices for nursing documentation, with: NEW and updated, fully illustrated content in quick-read, bulleted format NEWdiscussion of the necessary documentation process outside of charting—informed consent, advanced directives, medication reconciliation Easy-to-retain guidance on using the electronic medical records / electronic health records (EMR/EHR) documentation systems, and required charting and documentation practices Easy-to-read, easy-to-remember content that provides helpful charting examples demonstrating what to document in different patient situations, while addressing the different styles of charting Outlines the Do's and Don’ts of charting – a common sense approach that addresses a wide range of topics, including: Documentation and the nursing process—assessment, nursing diagnosis, planning care/outcomes, implementation, evaluation Documenting the patient’s health history and physical examination The Joint Commission standards for assessment Patient rights and safety Care plan guidelines Enhancing documentation Avoiding legal problems Documenting procedures Documentation practices in a variety of settings—acute care, home healthcare, and long-term care Documenting special situations—release of patient information after death, nonreleasable information, searching for contraband, documenting inappropriate behavior Special features include: Just the facts – a quick summary of each chapter’s content Advice from the experts – seasoned input on vital charting skills, such as interviewing the patient, writing outcome standards, creating top-notch care plans “Nurse Joy” and “Jake” – expert insights on the nursing process and problem-solving That’s a wrap! – a review of the topics covered in that chapter About the Clinical Editor Kate Stout, RN, MSN, is a Post Anesthesia Care Staff Nurse at Dosher Memorial Hospital in Southport, North Carolina.