Risk Management Series 1- Documentation in Allied Healthcare
Tip #4: Is an Addendum or Correction OK? The short answer is, yes, an addendum or correction is ok, and actually is needed to clarify the care or to correct misinformation. It must be clear, however, that your addition to your previous note is an addendum or...
Risk Management Series 1- Documentation in Allied Healthcare
Tip #3: When to Document: Timing There may be a myriad of daily occurrences that impact your ability to document. This is a common issue that many Allied Healthcare professionals face. Some of these occurrences might include mounting requirements...
Risk Management Series 1 – Documentation in Allied Healthcare
Tip #2: Objective versus Subjective Documentation No matter the Allied Healthcare profession in which you are practicing, from social work to physical therapy, documentation should be objective, not subjective. It should not be judgmental, but should be an accurate,...
Risk Management Series 1 – Documentation in Allied Healthcare
Tip #1: Why Is It Important to Document? Documentation is critical, but there are also times when certain observations or occurrences may not be memorialized when documenting in an electronic medical record (EMR) or in written format. Many of you work in systems where...