Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
19 Cards in this Set
- Front
- Back
|
The hospital maintains complete and accurate...
|
...medical records for each individual patient.
|
|
|
Entries in the medical record are...
|
...authenticated.
|
|
|
Documentation in the medical record...
|
...is entered in a timely manner.
|
|
|
The hospital audits...
|
...its medical records.
|
|
|
The medical record contains information that reflects...
|
...the patient's care, treatment, and services.
|
|
|
The hospital retains...
|
...its medical records.
|
|
|
The patient’s medical record documents operative or other high-risk procedures and...
|
...the use of moderate or deep sedation or
anesthesia. |
|
|
For hospitals that do not use accreditation for deemed status purposes: The medical record contains documentation of the use...
|
...of restraint and/or seclusion.
|
|
|
The medical record contains a summary list for each patient who receives continuing...
|
...ambulatory care services.
|
|
|
Qualified staff receive and record...
|
...verbal orders.
|
|
|
The hospital documents the patient’s discharge...
|
...information.
|
|
|
The hospital plans for...
|
...managing information.
|
|
|
The hospital plans for continuity of its...
|
...information management processes.
|
|
|
The hospital protects the...
|
...privacy of health information.
|
|
|
The hospital maintains the security and...
|
...integrity of health information.
|
|
|
The hospital effectively manages the...
|
...collection of health information
|
|
|
The hospital retrieves, disseminates, and transmits...
|
...health information in useful formats.
|
|
|
Knowledge-based information resources are...
|
...available, current, and authoritative.
|
|
|
The hospital maintains...
|
...accurate health information.
|
