CHAPTER 4 EHIMPP-INTRODUCTION TO THE PATIENT RECORD STUDY GUIDE SOLUTIONS
0 view 0 purchase
Course
2025/2026
Institution
2025/2026
CHAPTER 4 EHIMPP-INTRODUCTION TO
THE PATIENT RECORD STUDY GUIDE
SOLUTIONS
CLINICAL DATA - ANSWER-LAB REPORTS, PROBLEM LIST, VITAL SIGNS
ADMINISTRATIVE DATA - ANSWER-not related to care or treatment provided; includes demographic,
financial, and consent info
AUTHENTICATION - ANSWER-only the au...
PROPER PROCEDURE FOR CORRECTING A PROGRESS NOTE - ANSWER✔✔-line through it, date, time,
signature, "error" and correction
AUTHORIZED - ANSWER✔✔-who can make entries to a medical record
Dangerous Abbreviations - ANSWER✔✔-a list of abbreviations, acronyms, and symbols prohibited by the
Joint Commission
AUDIT TRAIL - ANSWER✔✔-a technical control created by an EHR system that lists all transactions and
activities
Verbal order ( VO ) - ANSWER✔✔-Order made over the telephone; voice order
universal chart order - ANSWER✔✔-When facilities organize reports in same order for both inpatient and
discharged patient records, the facility is using a:
benefits of universal chart order - ANSWER✔✔-saves processing time because reorganization is
unnecessary
PAT - ANSWER✔✔-preadmission testing
Impact of PAT to inpatient LOS - ANSWER✔✔-physician can provide timely treatment because he has all
of the data prior to encounter
EXAMPLES OF PAT - ANSWER✔✔-chest x-ray, EKG, lab tests
Page 2/9
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Emillect. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
