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I think what is meant here is: "Is is permissible for doctors to use abbreviations in medical records?" The answer is, apparently yes, because they do so all the time.

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15y ago
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12y ago

No, medical abbreviations may have different meanings in a different context or area of specialty. That's why using them can leave room for error.

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Q: Can doctors use abbreviations in medical records?
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Related questions

Who should not use medical abbreviations?

Although some abbreviations are used, an overuse of them could lead to confusion and misunderstandings. Confusion and misinterpretation of desired meaning. Leading to wrong tests or therapies. Acronyms can have several totally different meanings. The use of an acronym can be misinterpreted leading to misunderstanding of doctors orders, erroneous test results and wrong diagnoses. For example: ML can mean 1) Midline, 2) Middle lobe, 3) Malignant Lymphoma. OD can mean: 1) Once a day or 2) Right eye.


Does every doctors surgery have Electronic Medical Record of you or do they still use normal folders/files.?

Doctors in Big advanced hospitals are maintaining their Patients medical records electronically. It will be easy for them review their patients medical contion even at their home. Some small clinic doctors still using folders/files to keep their patients medical records.


How can eliminating medical abbreviations reduce errors?

Eliminating medical abbreviations would reduce errors because many abbreviations are very similar and therefore people get confused between them, however, if abbreviations were eliminated it would make it very difficult on medical professionals who would have to write out very lengthy medical terms. That's why many organizations are developing written policies stating which abbreviations should not be used and medical professionals are trained to write legible when using other abbreviations


Is there a list for do not use medical abbreviations?

Every trust should have its own list of recognised abbreviations. If it's not on the list - don't use it!


What was the first use of electronic medical records?

The first use of electronic medical records was to document clinical encounters. This is one of the major reasons why electronic medical records were made. I


How would you ensure that your staff and other health care professionals are proficient in medical abbreviations and terminology?

In reality, it would become readily apparent if someone in a medical setting didn't understand medical abbreviations or terminology. The reason for this is abbreviations and specific medical terms are used on such a large scale that if someone didn't understand them, they wouldn't be able to hide it very long. In a medical setting people use medical terminology and/or abbreviations every few seconds.


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Medical practices like doctors offices and emergency rooms use medical document imaging. It is designed to cut down on paper use and allow easier access to medical records. Facilities that use medical document imaging include: hospitals, medical offices, medical libraries, research centers, military bases, and veterans centers.


Who regulates Medical Terminology abbreviations?

Medical terminology abbreviations are often regulated by professional medical organizations, such as the American Medical Association (AMA) or the World Health Organization (WHO). These organizations establish guidelines and standards to ensure consistency and accuracy in medical communication. Healthcare facilities and educational institutions may also have their own policies for using medical terminology abbreviations.


What dictionary do doctors use?

Most doctors will chose to use a medical dictionary. Some doctors however will use the standard dictionary that most people use.


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