While this might sound easy, proper documentation requires diligence by everyone involved as this data provides critical information for tracking processed instruments to the patient and assessing the reliability of the sterilization process. Sterilization documentation is used when instruments need to be recalled in the healthcare facility and determining the reason for a sterilization process failure. Documentation provides a permanent record that you’ve done everything you said you did, from cleaning to sterilization to instrument distribution. Simply put, documentation established accountability. An important aspect of quality control, this part of documentation or record keeping documents each item or instrument that is processed, assists in proper stock rotation, establishes accountability, and assists with recalls.
The Importance of Proper Chart Documentation Introduction One of the most important things you will do in your job in the healthcare profession is charting. Charting is the way healthcare professionals communicate a patient’s weight, height, condition, medication, and past medical history. As soon as you walk in a doctor’s office, hospital, or any medical facility charting begins from the moment you sign in. Only healthcare professionals that are certified, licensed, or registered to chart should do so. There are three reasons proper chart documentations are important: to avoid lawsuits, keep accurate medical information for patient, and to maintain proper communication from one professional to another.
EHRs contain all the information from all clinicians who have provided care to that patient. EHRs allow all members of a health care team, whether primary care, emergency department, labs or specialist, to have immediate access to the most current patient information to provide better quality coordinated care (Garrett & Seidman, 2011). Providers approach to the implementation of Electronic Health Records must be carefully thought out. They should compare the pros and cons of such an implementation. Their approach should recognize how EHRs
Before implementing a strategic planning program is necessary that all the organization’s members will be involved in it to have the desire to fulfill the goals to be achieved. When an organizations lacks of a plan, administrators may not know how to organize people and resources; it may not even have a clear idea of what they need to organize. Without a plan, the administrator cannot lead with confidence and expect others to follow. Often mistaken affect health plans across the organization. That is why strategic planning is vital to any hospital that wants to achieve their goals in order to provide the best services to their community.
How can an acceptable quality of healthcare be assured for all? Somia O’Kelley HCA 305 The U.S. Health Care System Professor Shannon Corbett-Perez June 13, 2011 How can an acceptable quality of healthcare be assured for all? Quality Healthcare can be achieved by providing patients with a comprehensive range of services that will ensure adequate and efficient quality care. Since the needs of patients differ from one to another, we must find a system that is beneficial to everyone. When ensuring that every patient receives quality care there are several things we must consider such as healthcare costs, medical technology, and most of all the credentials of physicians chosen to render services to patients.
Work with a screening vendor that understands and monitors health care regulations and can provide updates to these regulations to support your organizational needs. Health care organizations must always consult with their legal team on these matters; however, an experienced screening provider can help increase awareness around evolving legislative and regulatory issues. • Comprehensive and Accurate Results To ensure optimal data quality and accuracy, the background screening information delivered to an organization should come from the best possible resource—the primary source. This means the data used in the background report was collected from the originating source of information. Understand how the data in the screening reports is collected and compiled.
How might competition impact the services provided to the patient? How does the improvement upon the resources, tools, and competency of medical staff personnel involve the element of competition? If we were to consider how far modern medicine has evolved within the last several decades, it is obvious that the competition for further improvement has allowed the health care industry to evolve exponentially. The services provided to the patient, the resources available to the patient, the tools utilized during patient treatment, and the level of knowledge and expertise of the medical staff all impact the proficiency and reputation of the health care organization. As a patient we place the utmost faith and fidelity within the hands of those providing treatment, we are entrusting personal information about ourselves with the unanimous understanding that our best interests will always remain a priority, and we expect successful treatment regardless of the reason or purpose for the visit.
ABSRTACT Electronic Health Records (EHR) were designed to store valuable patient information and have taken the place of paper health records. Everything about a patient is included in an EHR, from medical history and treatments received to insurance coverage and test results. An EHR is a computerized system where patient records are created, used, exchanged, stored, and retrieved. It replaces the traditional paper records with an electronic record and maintains all of the elements of a paper record. The EHR is a computerized electronic record of patient health information generated by one or more encounters in any care delivery setting.
Carol Alborn HIM CORE Day 11 9/12/2011 Purpose and Function of the Health Record A health record is a virtual storage place that documents health care services from healthcare providers at various locations such as the DR.’s office, nursing homes and ambulatory service locations. It’s made up of data or facts from the patient and family members, and these healthcare services, which is analyzed for useful information. It is the HIM professional’s responsibility to take data from traditional practice forms and any Personal Health Record (PHR) or from any other sources, then enter data into the Electronic Health Record (EHR) system. Anything missing can alter the patients care. Its Primary purpose is to ensure quality patient care and managing the cost of that care.
INTRODUCTION The purpose of this report is to examine software usability and its importance within the context of the Emergency Department (ED). It will address the range of usability attributes related to Firstnet and provide suggested improvements for the software. It will also discuss the various usability testing methods and techniques used in the software development life cycle. FIRSTNET SOFTWARE & THE HEALTHCARE ENVIRONMENT The Emergency Department (ED) is a complex environment with a fast patient turnaround and team-based care delivery. Clinicians require easily accessible and well-organised clinical and administrative information in order to provide treatment to patients, communicate information to other health professionals and mange patient flow within the department (Creswick et al.