ecord and documentation screens in the electronic health record is necessary in order to enable accurate documentation and ease of location of information
A standardized format for the use of forms in the paper record and documentation screens in the electronic health record is necessary in order to enable accurate documentation and ease of location of information, whether in paper or electronically for patient care as well as other administrative uses of the record.
Select policies, procedures and guidelines provided for benchmarking in Module 01 under Benchmarking Resources based on appropriateness to this topic, or you may research policies, guidelines and standards on your own to use as a benchmark. Review your selected policies, procedures and guidelines and select the information after comparing those resources that you will include in your policy and write your policy on organization wide guidelines on forms control. Consider how new documentation capture tools can be recommended, approved and communicated to the health care providers.
The completed typed policy should be 1-3 pages. If you use a source for the policy (Please format in a work policy & procedure see example below), state the source at the end of the policy under a heading titled references.
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