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By Gabriel Janashvili Born 03.07.1980 i am anesteziologist working private hospital also i am transfer doctor working in this direction. Certificate in phtls , atls .
https://www.readbyqxmd.com/read/25581028/clinical-documentation-in-the-21st-century-executive-summary-of-a-policy-position-paper-from-the-american-college-of-physicians
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Thomson Kuhn, Peter Basch, Michael Barr, Thomas Yackel
Clinical documentation was developed to track a patient's condition and communicate the author's actions and thoughts to other members of the care team. Over time, other stakeholders have placed additional requirements on the clinical documentation process for purposes other than direct care of the patient. More recently, new information technologies, such as electronic health record (EHR) systems, have led to further changes in the clinical documentation process. Although computers and EHRs can facilitate and even improve clinical documentation, their use can also add complexities; new challenges; and, in the eyes of some, an increase in inappropriate or even fraudulent documentation...
February 17, 2015: Annals of Internal Medicine
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