Tag Archives: Nursing Transcription

What Should Be Included In Nursing Documentation?

11-October-2021 Julie Clements Nursing Transcription

Nurses work demanding shifts and managing documentation can be a phenomenal task. Keeping accurate and timely nursing records is essential for communication among all members of the patient’s healthcare team and to support the delivery of safe, appropriate and continuous … Continue reading →

Curbing Diagnostic Errors in Healthcare Practices

25-January-2016 Rajeev Rajagopal Medical Transcription

Diagnostic errors are a persistent problem in healthcare practices. We have seen earlier how diagnostic errors are a top concern in the healthcare industry. The National Academies of Sciences, Engineering and Medicine, recently published a report entitled ‘Improving Diagnosis in … Continue reading →

How EMR Impacts the Job of Nurse Practitioners

26-November-2015 MTS TEAM Medical Transcription

With the Affordable Care Act (ACA), electronic medical records or EMRs are being widely used among nurse practitioners with individual patients and at clinical level in order to support wellness as well as chronic disease management activities. A recent study … Continue reading →

Good Documentation Practices to Ensure Quality Nursing Care

21-September-2015 MTS TEAM Nursing Transcription

Accurate and comprehensive nursing documentation is critical to provide superior quality care to patients. Quality care can be ensured with excellent team effort. Nursing charts should be easily accessible to physicians and other clinicians to help them understand the status … Continue reading →

Avoiding Transcription Errors in Medication Administration

17-September-2015 Julie Clements Medical Transcription

Transcribing a medication order or the transfer of information from an order sheet to nursing documentation is a crucial step in medication administration. With accurate transcription, the other steps in medication administration such as dispensing the drug and delivering the … Continue reading →

Study: Significant Lag Times Exist between Evaluating and Documenting Patient Pain Scores

24-August-2015 Julie Clements Medical Transcription

When it comes to nursing transcription, frequent documentation of pain scores is very important for proper pain assessment and treatment. However, the study findings presented at the American Medical Informatics Association’s 2014 annual symposium highlight a significant delay on the … Continue reading →