The Common Errors in Medical Documentation and How to Avoid Them
Due to mistakes that would have when documenting medical records, such have resulted in the wrong treatment of the patients or even death. To get to read on the different errors that happen during medical documentation as well as what you could do to avoid them, below is a great read on this. Regarding the different errors that happen in medical documentation is that associated with hiding of errors in written documents where a thick marker would be used to cross the mistake as well as one not erasing it at the time they would have noticed that a mistake would have taken place during medical documentation.
You should take note of this point as well that in the case of written records, the other mistake that people do when documenting these medical records is scribbling over the errors they would have done to make them unreadable or utilizing correction fluid find out why. At the time you would be looking to correct errors that you would make in the documentation of written records, as to what you would be advised to do is to take up an approach to make this correction and at the same time preserving the original find out why. To work on these mistakes that would come in written records, among the ways to carry out these corrections would be for you to cross out the mistake lightly, write the new information in the next space that would be available as well and initialing your change find out why.
The use of copy and paste would also likely bring about mistakes in the documentation of medical records. By copying and pasting, as to what would mistake would likely arise from this would be that where repeated simple entries that would be noticing single details would make it seem that a patient would be suffering from a chronic disease. So as to avoid such mistakes that would be brought about by copying and pasting, as to what you would be advised to do is to use a new entry in the case of each occasion as this would assist to reduce repetition find out why.
You should take note of this point as well that the other common error in medical documentation is that which is associated with the failure to include treatment that has been omitted. It is recommended that at the time you would be recording the medications that would not have been given, you would need to find out why that happened. To find out why mistakes happen during the medical documentation, you should take note of this point that there exists some which would be brought out due to poor handwriting.
Recommended reference: wikipedia reference