Webinar - Documentation -- Paper and Electronic - The Basics and Beyond

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July 28-29, 2010 This presentation reviews medical record documentation that can reduce risks and improve patient safety in health centers or clinics. The importance of complete, accurate, and timely documentation of medical care is reviewed, as well as common documentation inadequacies and their potential consequences for patient safety and risk management. The presentation also discusses: • What to record for patient visits • The importance of documenting compliance with health screening guidelines • Examples of successful tracking systems and documentation of patient follow up • General documentation "rules" • Use of pre-printed forms and templates • Malpractice cases with documentation failures • Risks and benefits of electronic health records

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