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Authoring patient records : an interactive guide

Author: Michael P Pagano; Canera L Pagano
Publisher: Sudbury, Mass. : Jones and Bartlett Publishers, ©2011.
Edition/Format:   Print book : EnglishView all editions and formats
Summary:
"This text offers tips and exercises for enhancing recordkeeping with minimal time extensions and illustrates the importance of effective documentation for quality care, safety, continuity of care, and legal compliance, including adherance to HIPAA regulations."--Back cover.
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Genre/Form: Problems and Exercises
Document Type: Book
All Authors / Contributors: Michael P Pagano; Canera L Pagano
ISBN: 9780763763213 0763763217
OCLC Number: 498977868
Description: xiii, 194 pages ; 23 cm
Contents: The patient record : an overview --
Audience, purpose, and use --
Developing an authoring process --
Adapting the reporter's formula --
Using the authoring process --
Written, dictated, and electronic patient records --
Legal considerations for authors of patient records --
Practicing the process --
Analyzing patient records --
Authoring patient records --
Final thought on the authoring process.
Responsibility: Michael P. Pagano ; chapter 7 by Canera L. Pagano.

Abstract:

"This text offers tips and exercises for enhancing recordkeeping with minimal time extensions and illustrates the importance of effective documentation for quality care, safety, continuity of care, and legal compliance, including adherance to HIPAA regulations."--Back cover.

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