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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charts of the charge nurse usually used during endorsement, in which index cards are used, but has been gradually been replaced by modern health data systems and pre-printed charts and ...
Massachusetts General Hospital (Mass General or MGH) is a teaching hospital located in the West End neighborhood of Boston, Massachusetts. [4] It is the original and largest clinical education and research facility of Harvard Medical School/Harvard University, and houses the world's largest hospital-based research program with an annual research budget of more than $1.2 billion in 2021. [5]
Mass General Brigham (MGB) (formerly Partners HealthCare) is a not-for-profit, [5] integrated health care system [6] that engages in medical research, [7] teaching, [8] and patient care. It is the largest hospital-based research enterprise in the United States, with annual funding of more than $2 billion. [ 9 ]
The information contained in the medical record allows health care providers to determine the patient's medical history and provide informed care. The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient's care.
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]
It provides information for the continuation of care following discharge. [10] History and Physical - A History and Physical (H&P) note is a medical report that documents the current and past conditions of the patient. [11] Operative Note - The Operative Note is created immediately following a surgical or other high-risk procedure.
Pronunciation follows convention outside the medical field, in which acronyms are generally pronounced as if they were a word (JAMA, SIDS), initialisms are generally pronounced as individual letters (DNA, SSRI), and abbreviations generally use the expansion (soln. = "solution", sup. = "superior").
Bastian–Bruns sign; Battle's sign; Becker's sign; Bekhterev–Jacobsohn reflex; Bekhterev–Mendel reflex; Bilateral hilar lymphadenopathy; Bing's sign; Bitot's spots; Blood hammer; Blumer's shelf; Boas' point; Boas' sign; Boggy uterus; Borsari's sign; Bouchard's nodes; Brain's reflex; Braverman's sign; Brewer infarcts; Brissaud's reflex ...