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The patient health record is the primary legal record documenting the health care services provided to a person in any aspect of the health care system. The term includes routine clinical or office records, records of care in any health related setting, preventive care, lifestyle evaluation, research protocols and various clinical databases.
This is a list of abbreviations used in medical prescriptions, including hospital orders (the patient-directed part of which is referred to as sig codes).This list does not include abbreviations for pharmaceuticals or drug name suffixes such as CD, CR, ER, XT (See Time release technology § List of abbreviations for those).
The PAS records the patient's demographics (e.g. name, home address, date of birth) and details all patient contact with the hospital, both outpatient and inpatient. [ 1 ] PAS systems are often criticised for providing only administrative functionality to hospitals, however attempts to provide more clinical and operational functionality have ...
Use of abbreviations, such as those relating to the route of administration or dose of a medication, can be confusing and is the most common source of medication errors. [2] Use of some acronyms has been shown to impact the safety of patients in hospitals, and "do not use lists" have been published at a national level in the US. [4]
A kardex (plural kardexes) is a genericised trademark for a medication administration record. [2] The term is common in Ireland and the United Kingdom.In the Philippines, the term is used to refer the old census charts of the charge nurse usually used during endorsement, in which index cards are used, but has been gradually been replaced by modern health data systems and pre-printed charts and ...
After July 30, 2012, users who visited the CCR, ORCA, or EPLS websites are automatically redirected to SAM.gov. [2] On July 30, 2012, the CCR transitioned to the System for Award Management (SAM), which combined legacy users ' records in the CCR and eight other separate websites and databases that aided in the management of Federal procurement ...
A hospital information system (HIS) is an element of health informatics that focuses mainly on the administrational needs of hospitals.In many implementations, a HIS is a comprehensive, integrated information system designed to manage all the aspects of a hospital's operation, such as medical, administrative, financial, and legal issues and the corresponding processing of services.
Dr Shaun O'Hanlon, EMIS's Chief Medical Officer says that the legal framework around data sharing is the main problem in integrating patient data because the Data Protection Act 1998 puts responsibilities on GPs to protect the confidentiality of patient data, but at the same time they have a "duty to share" when it is in the best interests of ...