What Are the Key Components in a Hospital Discharge Summary? [INFOGRAPHIC]
A well-structured and accurate discharge summary is important for diverse purposes such as transferring information between the hospital care team and aftercare providers, helping physicians to quickly identify how to respond to the patient’s hospitalization, to promote patient safety, and for legal purposes. Lack of
Key Tips to Document Operative Notes in a Practice [INFOGRAPHIC]
Operative note is an important part of the medical chart that refers to a surgeon’s report and includes all necessary documentation regarding all the procedures ranging from what operation a patient had, what was found during surgery, and the post-operative instructions from the surgeon. Operative
Write Good and Effective Progress Notes with These Key Tips [INFOGRAPHIC]
Progress notes or SOAP (Subjective, Objective, Assessment, Plan) notes, document various aspects of the patient’s treatment and highlight important issues or concerns relating to care. Good progress notes tell the patient’s story and prioritize patient care and safety. These notes provide information related to medical
What are the Five Cs for Quality Radiology Reporting? [INFOGRAPHIC]
Radiology reports are one of the main ways of communication between the radiologist and the ordering physician. These reports are also accessed by specialists such as neurosurgeons, neurologists, and orthopedic surgeons – who require the imaging results of a patient or use them as a
6 Common Causes Of Medical Errors [INFOGRAPHIC]
Accurate medical records reflect physician efficiency and are indicative of quality patient care. Maintaining accurate medical records is also essential to meet ethical and legal obligations. Error-free medical records with all relevant patient data allow physicians to monitor the treatment given to the patient and
