Auditing Copy and Paste

For organizations that allow clinicians to carry forward clinical documentation in electronic records, auditing its proper use is key to ensuring document integrity. Copying clinical documentation poses both clinical and compliance risk. The feature “Auditing Copy and Paste” offers guidance in creating a solid audit plan.

The story is adapted from the broader AHIMA resource “Copy Functionality Tool Kit.” It offers sample policies, testing activities, case scenarios, and questions organizations can ask when considering the use of copy and paste.

You’ll find a lot of other good practice resources on that page.

2 Comments

  1. I was looking for the ‘copy functionality toolkit’ and I get a error message that since AHIMA has updated their sear engine, I could not get it. The instructions were too complicated to follow. Very sad news.

    Post a Reply
    • Thank you for bringing this to our attention, Maria. We have updated the link and you can now access the “copy functionality toolkit” from this post.

      Best,
      Chris Dimick
      Editor-in-chief

      Post a Reply

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