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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charts of the charge nurse usually used during endorsement, in which index cards are used, but has been gradually been replaced by modern health data systems and pre-printed charts and ...
Within the medical record, individual medical encounters are marked by discrete summations of a patient's medical history by a physician, nurse practitioner, or physician assistant and can take several forms. Hospital admission documentation (i.e., when a patient requires hospitalization) or consultation by a specialist often take an exhaustive ...
Their goal is for every physician in their organization to adapt the EMR at a 100% utilization rate in order to increase efficiency and reduce adverse patient outcomes. 450 physicians were required to attend a 16-hour training session in order to obtain a certification that would allow them to admit patients. 1,700 Non-physician employees were ...
Health information management's standards history is dated back to the introduction of the American Health Information Management Association, founded in 1928 "when the American College of Surgeons established the Association of Record Librarians of North America (ARLNA) to 'elevate the standards of clinical records in hospitals and other medical institutions.'" [3]
Patient check-in is the process where patients begin their registration with the healthcare facility topically using a clipboard, electronic tablet, touch screen, kiosk, or by other method, sometimes self-service. Patient check-in start as far back as the Roman times when patients would wait for special services in purpose-built hospitals.
The nurse can then scan the bar code on medication and use software to verify that he/she is administering the right medication to the right patient at the right dose, through the right route, and at the right time ("five rights of medication administration"). [5] Bar code medication administration was designed as an additional check to aid the ...
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Medication management is a difficult task, where it focuses on the "five rights": right patient, right medication, right dose, right time, and right route of administration. [7] Barcode medication verification at bedside allows for nurses to automatically document the administration of drugs by means of barcode scanning.