Need for Quality Critical Care Documentation

The critical care environment has an important stake in patient safety as it houses patients recovering from major surgery and those with serious ailments or life threatening injuries. The documentation for the extensive level of care often required can be time-consuming. That’s why critical care transcription service is so important.

Critical Care DocumentationSeveral types of reports are generated in a critical care unit such as shift reports, interim reports for breaks and lunch, out-of-the-unit procedure reports, interdepartmental reports, interfacility transfer reports and discharge reports. Of these, shift reports by nurses are the most common and record important details such as patient demographic data, safety concerns, incidents related to patient care, treatment plans, advance instructions, and patient and family preferences. Nurses and healthcare personnel serving in a critical care unit need to identify serious complications, take action to stabilize them as quickly as possible, and prevent further problems from occurring.

As in other realms of healthcare, critical care units need medical reports transcribed accurately and in minimum turnaround time. As timely care is crucial in a critical care environment, outsourcing transcription is the best option. Outsourcing critical care transcription ensures documents and reports that are accurate, standardized and completed in custom turnaround time, freeing up hospital personnel for other important tasks.

With the right medical transcription company, clients enjoy a host of benefits, including direct feeds to EMR and EHR. Quality is given top priority. The transcription is done by trained and skilled transcriptionists, knowledgeable in medical terminology as well as industry standards of style, punctuation and grammar. QA managers edit the transcribed documents for accuracy and clarity, comparing it against the dictation. They can ensure accuracy levels of up to 99%. Other client gains:

  • Digital or phone-in dictation options
  • Multi-level QA
  • Document management system featuring online editing, searchable database, and more
  • HIPAA compliance and multiple options for secure file transfer
  • Customized turnaround time (TAT)
  • Affordable pricing based on 65 characters per line as well as volume, TAT and specialty requirements

Healthcare facilities requiring critical care transcription service should request a free service trial, as this can help them make the right outsourcing decision.