Documentation and coding of medical records in a tertiary care center: a pilot study
J Farhan, S Al-Jummaa, A Al-Rajhi… - Annals of Saudi …, 2005 - annsaudimed.net
… 9 terminology, and to abide by the documentation guidelines were noted as a source of
error… on medical record documentation and coding quality. Documentation guidelines are still …
error… on medical record documentation and coding quality. Documentation guidelines are still …
[PDF][PDF] A Study to Assess the Accuracy of Medical Record Documentation of Priority I Patients In Emergency Department at a Tertiary Care Apex Hospital
D Kabir, A Wankar, K Jain - Global Journal of Medical Research, 2018 - academia.edu
… Proper documentation of clinical record is of paramount importance 5. Self-assessment …
record keeping 6.This study aims at assessing the accuracy of medical record documentation of …
record keeping 6.This study aims at assessing the accuracy of medical record documentation of …
An observational study of role of medical record department in tertiary care teaching hospital
GP Tank, P Tank, P Shah - National Journal of Physiology …, 2023 - search.proquest.com
… Background: Medical record document explains all the details … record department at our
medical college affiliated tertiary care … various parameters of medical records such as consent, …
medical college affiliated tertiary care … various parameters of medical records such as consent, …
The Quality of Medical Record Documentation and External Cause of Fall Injury Coding in a Tertiary Teaching Hospital
J Cunningham, D Williamson… - Health Information …, 2014 - journals.sagepub.com
… 50% of hospital medical records … records contained mechanism of falls injury information,
16% contained insufficient details, indicating a deficiency in medical record documentation …
16% contained insufficient details, indicating a deficiency in medical record documentation …
[PDF][PDF] Analysis of health record documentation process as per the national standards of accreditation with special emphasis on tertiary care hospital
P Singh, S John - Int J Health Sci Res, 2017 - researchgate.net
… patient file documentation process. Managing proper documentation and hospital records
addresses the specific issues involved in managing clinical and non-clinical hospital records…
addresses the specific issues involved in managing clinical and non-clinical hospital records…
Quality of hospital admission documentation: A study in an emergency paediatric unit of a tertiary hospital in Nigeria
… documentation in a patient’s hospital record includes all information that relates to the care of
the patient during their hospital … documents in the patient’s record because it represents the …
the patient during their hospital … documents in the patient’s record because it represents the …
Evaluation of nursing documentation: The experience of nurses from the primary and secondary/tertiary health care
Š Cilović-Lagarija, N Hasanica, S Tukulija… - Journal of Health …, 2020 - jhsci.ba
… How nurse experience influences the patterns of electronic medical record
documentation in an intensive care unit. Proc Hum Fact Ergon Soc Ann Meeting 2019;63(1):708-12. …
documentation in an intensive care unit. Proc Hum Fact Ergon Soc Ann Meeting 2019;63(1):708-12. …
Communication model enhancement using electronic health record standard for tertiary hospital
… documented information on paper records carried from one location to another. However, with
the introduction of electronic health records (… of communication for tertiary hospital that can …
the introduction of electronic health records (… of communication for tertiary hospital that can …
[PDF][PDF] Practice of Documentation at Casualty of Tertiary Care Hospital: An Interventional Study
R Ramasamy, G Rajendiran, RN Kagne - Prof.(Dr) RK Sharma, 2021 - researchgate.net
… of documentation of medical records, this … documentation which is the need of the hour. 5
So our study helps in identifying various deficiencies in the documentation of medical records …
So our study helps in identifying various deficiencies in the documentation of medical records …
[PDF][PDF] Medical record keeping practices in a tertiary level hospital
PK Barua, AK Saha, JP Borua, S Barua… - Asian Journal of …, 2020 - researchgate.net
… Hospital. This study will endeavor in assessing the existing medical record keeping practice
in tertiary level hospitals of … Documentation and coding of medical records in a tertiary care …
in tertiary level hospitals of … Documentation and coding of medical records in a tertiary care …
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