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Appropriate Use of the Copy and Paste Functionality in EHRs

Author: AHIMA

Source: AHIMA position statement

Publication Date: March 2014

Use of the copy and paste functionality in EHRs can result in redundant, erroneous, and/or incomprehensible health record documentation. Misuse of this functionality has the potential to result in or contribute to several overarching challenges, with implications for the quality and safety of patient care, medico-legal integrity of the health record, and fraud and abuse allegations.

Linking Quality of Care to Clinical Data Integrity

Author: Roat, Lisa

Source: Journal of AHIMA

Publication Date: January 2014



Healthcare data is being touted as a means to improve population health management. It is also feeding public competitive market reporting for providers and facilities. The integrity of the clinical data being reported is essential to supporting and improving the quality of care to patien....

Medical Records' Dynamic Nature: If It Isn't Written Down, It Didn't Happen. And If It Is Written Down, It Might Not Be What It Seems

Author: David, Gary; Vinkhuyzen, Erik

Source: Journal of AHIMA

Publication Date: November 2013



Documents are a fundamental component of any organization. In fact, no organization can exist without filing the proper paperwork. Documents are such a pervasive part of our everyday life that almost every parody of office work involves the specter of a burdensome documentation requirement....

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