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Applause the mistake I'm Malachi reading quality and after Hospital shipping this video is about clinical record review a quality tool I would like to start the session by quoting an old maxim which goes like this patient forgets but recorded with us as we need clinical record this is a very important tool click on record review this is significant quality improvement process as it evaluates and measures the accuracy and the candidness of service provider it is also very important from the accreditation point of view BJ CIA or any BH most of the hospitals adheres to their own set of policies and procedures when it comes to the medical record review what is more important here Tennis could have used it what are the elements to be reviewing when it should be reviewed and how much should be documented medical record review is broadly classified into two types open medical record review unclose medical record review open medical record review typically happens when a patient is an active engaged and closed medical record review happens once the patient gets discharged via table hospital chain I have got a checklist for the open medical record review which encompasses the minimal content of history and physical examination so the doctors and the nurses conducts the open medical record review and gives the compliance report to quality system office when it comes to CRO's medical record review the medical technology apartment takes responsibility of ensuring the compliance for closed medical record review there is a designated team identified which encompasses doctor nurse dietician physiotherapist and all the other healthcare professional who are authorized to make entries in the medical record vehicle duty roster for everyday who will be doing the medical record review a sample size for both open and closed medical record review as per the guidelines given back NAB hitched medical record Department also share this data with concern specialities to discuss in the monthly departmental meeting a Mort acacia compliance medical records department also share this data the only clinical coordinators to discuss during the departmental meetings so that the quality of the documentation improves if your hospital is into digitization journey than the record review process is even more important all that you have to do is identify people who would have the access for checking records, and they will be giving the monthly report to medical record department or compliance clinical record review is an important quality improvement to it measures and evaluates the timeliness and the accuracy of the service provider the other benefit of efficient and effective clinical record review includes monitoring of clinical outcomes evidence-based research program ease of handling medico-legal concerns, and also it should, it stems hence it is very important to consider the clinical quality record review process as an important priority in the quality improvement and patient...
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