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Improving clinical documentation in an EMR world.

作者信息

Payne Thomas

机构信息

IT services, UW Medicine, Seattle, USA.

出版信息

Healthc Financ Manage. 2010 Feb;64(2):70-4.

Abstract

Hospitals can take three steps to ensure successful integration of clinical documentation with an electronic medical record: Engage physicians and make sure they understand the process. Make the process simple for physicians to use. Train registered nurse documentation specialists to request documentation clarifications.

摘要

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