Practical Reviews

Minefields in EHR Documentation -- Templates, Shortcuts, Cloning

In electronic health record (EHR) systems, the use of templates can help ensure that compliance criteria are met and that procedures are properly documented for later health care or litigation purposes. One example in which a template can prove to be extremely helpful is when an obstetrician encounters shoulder dystocia during a birth. When documenting the delivery, the obstetrician, when prompted by the template, can be sure to include the various maneuvers used to counter the stu more...
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