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Here are some tips that would make your documentation a stand-out and an example among the rest.
Enjoy these 65 funny charting errors and bloopers found on actual medical records.
Medical abbreviations were made to quickly but accurately document. Here's a list of medical terminologies that you should know.
Focus Charting of F-DAR is intended to make the client and client concerns and strengths the focus of care. It is a method of organizing health information in an individual's record. Focus Charting is a systematic approach to documentation.