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Documentation and Provider Standards Training

American Medical Compliance

The following Documentation and Provider Standards Training educates healthcare providers on the significance of documentation compliance in healthcare. Documentation Guidelines and Standards The legal system views documentation as a fundamental component.

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Social Risk Factor Documentation in Emergency Departments

University of Maryland Department of Emergency Med

Since the switch from fee for service to value based care in the US, there has been a marked push to improve our documentation to expand ou. Click to view the rest

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Nursing Malpractice: The Basics – Part 2

The Trauma Pro

And finally, one of the most common issues complicating malpractice cases of any kind is documentation. Collection and review of documentation, identification of experts, and collection of depositions takes time. Collection and review of documentation, identification of experts, and collection of depositions takes time.

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EMS, Documentation, and Continuation of Care in Stroke Patients

University of Maryland Department of Emergency Med

BACKGROUND: Prehospital (EMS) clinicians are positioned on the front lines of health care. With respect to stroke identification and treatment, ea. Click to view the rest

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Guidelines for Consultants to the Trauma Service

The Trauma Pro

You can download the full document using the link at the bottom of this post. Document your consultation results in writing (paper or EMR) promptly. Click here to download a sample Trauma Services consultant guidelines document. We have disseminated guidelines to our colleagues, and I wanted to touch on some of the main points.

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PulmCrit: New ARDS guidelines reveal a shambolic state of affairs

EMCrit

Some authors on the ATS document were from Europe, and similarly some authors […] EMCrit Project by Josh Farkas. Within the past year, two major societies have released guidelines on ARDS: the ATS (American Thoracic Society) and the ESICM (European Society of Intensive Care Medicine).

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Perc Trach Procedure Documentation

Resus Review

Part of performing a bedside percutaneous tracheostomy is the procedural documentation. Given that this is a surgical procedure, the documentation should be more thorough than you may be accustomed to doing for an arterial line or central line. I have included a sample procedure note below.