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Deleting Errors in the EHR

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: September 2010



Many types of documentation errors can occur in electronic health records (EHRs), such as incorrectly recording the sex of a patient, documenting in the wrong patient record, and incorrectly identifying the ordering physician on a laboratory report.


It is important to addres....

Managing Patient-provided Information in EHRs

Author: Warner, Diana

Source: Journal of AHIMA

Publication Date: July 2010


Ensuring correct and complete patient health information is an ongoing challenge for healthcare organizations. Patient-provided health information can help organizations gain a more complete view of a patient's health, and electronic health records (EHRs) provide multiple tools that allow pati....

Completing Charts in EHRs

Author: Wiedemann, Lou Ann

Source: Journal of AHIMA

Publication Date: January 2010


This issue the Journal introduces a new “Working Smart” column offering best practices for working in the e-HIM environment.

Since the advent of the HIM profession many have struggled with the chart completion process. In the paper environment, the process began with assembling mount....

Telling the Patient Health Story

Author: AHIMA

Source: AHIMA Today

Publication Date: October 06, 2009


While many forms of valuable clinical data can be entered into an EHR in a structured way, some documents like transcribed physician notes remain trapped within unstructured electronic documents.

These transcribed notes and other narrative documents can be viewed through the EHR, bu....

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