From Traditional to Modern Clinical Documentation
One of the basic necessities in providing superb health care and medical services is the consideration of a clinical documentation improvement program.
It clearly sets that difference between traditional medical record keeping and modern clinical documentation.
Traditional ways are characterized by laborious and time consuming processes of documenting medical records.
Older medical institutions are most likely run by older physicians who are used to the usual approach involving log books, separate forms and lots of paper works organized in different folders.
Clinical notes are normally handwritten and therefore are prone to human error and data loss.
This is the reason why one of the focuses of an improvement program is the incorporation of modern tools and applications.
As the saying goes, it is hard to teach older dogs some new techniques, it's pretty much the same with traditional professionals but it doesn't have to be that way.
A lot of institutions learned their lessons the hard way wherein they had to experience lawsuits and medical failures due to improper clinical documentation.
This is what a clinical documentation improvement program is trying to improve.
We are not saying the older physicians don't have enough capabilities to provide quality services.
In fact, they are considered as the pioneers in this field.
Traditional doctors and nurses are able to develop methods and terminologies which became the foundations of modern hospitals and clinics.
The only problem with the usual approach is that records are not documented properly and accurately since it is very much exposed to human error and carelessness.
This results to miscommunication among physicians which increases the chances for medical failures and malpractices.
In the end, the patients suffer the lack of standards and quality in the area of documentation.
Medical institutions can eliminate the drawbacks of traditions in clinical documentation by considering the most appropriate program that will fit the type of system currently being used.
The modern demands of the society require hospitals to be up to date and support automation that will simplify and speed up all processes.
This will help improve overall operations and will allow speedy recovery for the patients which are proven by reduced hospitals stays.
Clinical documentation improvement program can help you overcome the disadvantages brought by traditional documentation.
As medical records play important roles in achieving the goal of providing quality health care services, the best way to start is by improving clinical documentation practices and procedures.
It clearly sets that difference between traditional medical record keeping and modern clinical documentation.
Traditional ways are characterized by laborious and time consuming processes of documenting medical records.
Older medical institutions are most likely run by older physicians who are used to the usual approach involving log books, separate forms and lots of paper works organized in different folders.
Clinical notes are normally handwritten and therefore are prone to human error and data loss.
This is the reason why one of the focuses of an improvement program is the incorporation of modern tools and applications.
As the saying goes, it is hard to teach older dogs some new techniques, it's pretty much the same with traditional professionals but it doesn't have to be that way.
A lot of institutions learned their lessons the hard way wherein they had to experience lawsuits and medical failures due to improper clinical documentation.
This is what a clinical documentation improvement program is trying to improve.
We are not saying the older physicians don't have enough capabilities to provide quality services.
In fact, they are considered as the pioneers in this field.
Traditional doctors and nurses are able to develop methods and terminologies which became the foundations of modern hospitals and clinics.
The only problem with the usual approach is that records are not documented properly and accurately since it is very much exposed to human error and carelessness.
This results to miscommunication among physicians which increases the chances for medical failures and malpractices.
In the end, the patients suffer the lack of standards and quality in the area of documentation.
Medical institutions can eliminate the drawbacks of traditions in clinical documentation by considering the most appropriate program that will fit the type of system currently being used.
The modern demands of the society require hospitals to be up to date and support automation that will simplify and speed up all processes.
This will help improve overall operations and will allow speedy recovery for the patients which are proven by reduced hospitals stays.
Clinical documentation improvement program can help you overcome the disadvantages brought by traditional documentation.
As medical records play important roles in achieving the goal of providing quality health care services, the best way to start is by improving clinical documentation practices and procedures.
