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Who owns health care information about an individual patient not the record itself but the information in the record?
The patient.
Patient records to electronic format impact patient care?
You can check identi medical articles to get a better understanding on this topic
Which is a primary purpose of the patient record?
evaluate quality of care
What is a legal medical record?
Documentation of services provided by a health care provider to a patient
The medical record number can be described as?
unique patient number assigned by the health care facility
Which part of the patient record is classified as administrative?
The administrative part of a patient record typically includes demographic information, insurance details, consent forms, and billing information. This section is essential for managing the business aspects of patient care, such as scheduling appointments and processing payments. It may also contain communication logs and administrative notes related to the patient's care.
Which type of patient care record includes documentation of a family bereavement period?
The type of patient care record that includes documentation of a family bereavement period is typically found in the "psychosocial assessment" or "psychosocial history" section of a patient's medical record. This section captures information about the patient's emotional and social well-being, including significant life events such as bereavement. It may also be documented in progress notes by mental health professionals during therapy sessions.
What record contains an antepartum record record labor and delivery record and postpartum record?
The record that contains antepartum, labor and delivery, and postpartum information is typically referred to as a "maternity record" or "obstetric record." This comprehensive document tracks a patient's entire pregnancy journey, including prenatal care, labor details, and postnatal care. It is essential for ensuring continuity of care and for documenting the health of both mother and baby throughout the perinatal period.
What is the collection of a patient's personal information called?
The collection of a patient's personal information is typically referred to as a "patient record" or "medical record." This record includes details such as the patient's medical history, diagnoses, treatment plans, medications, and personal identification information. It is essential for providing quality healthcare and ensuring continuity of care. Additionally, the protection of this information is governed by laws such as HIPAA in the United States.
What has the author Lorene Read written?
Lorene Read has written: 'Does nursing policy impact upon patient care?'
What is the purpose of patient care report?
The purpose of a patient care report is to document the details of a patient's medical condition, treatment provided, and any interventions performed during their care. This report serves as a vital communication tool among healthcare providers, ensuring continuity of care and facilitating coordination among different medical teams. Additionally, it provides a legal record of the care delivered, which can be important for billing, compliance, and quality assurance purposes. Overall, patient care reports enhance patient safety and improve health outcomes by promoting accurate information sharing.
What is the primary data source for healthcare professionals?
the health record is considered a primary data source it contains information about a patient that has been documented by the professionals who provided care or services to that patient.
