Dos and Don’ts of Maintaining Good Clinical Records
Well-maintained clinical records are critical for practices to deliver quality healthcare, to maintain continuity of care, and to share information among different healthcare providers. Medical records must be accurate, and written in a professional manner. Records should also include diverse components including history, patient examination,
Physician-Patient Email Communication – Key Considerations
All physicians know that patient outcomes depend on successful communication. Open communication can help providers obtain more complete information from patients, improve the prospects of a more accurate diagnosis, and promote proper counseling, thus potentially improving patient adherence to treatment plans and health outcomes.
Advantages of Using EHR Data for Clinical Research
Data collection and management in clinical research involves gathering variables pertinent to the research hypotheses and using it to generate high-quality, reliable, and statistically sound results from clinical trials. Clinical researchers collect both primary data from surveys and interviews and secondary data from paper records
Modules of a Good Electronic Health Record
Digital technologies are transforming the way the world operates. Electronic health records (EHRs) have all but replaced paper records in modern healthcare organizations, and revolutionized the way patient data is collected, stored, managed and exchanged. Most providers outsource medical transcription to input the medical
How Can You Improve Clinical Documentation?
Clinical documentation comprises all the information relating to each patient’s encounters with a healthcare facility. This information is entered in the medical record by a member of the patient’s healthcare team – a physician, nurse, therapist, dentist or other healthcare professional. Chronologically documenting this
