EHR Management Track Discusses Human Error Challenges

To err is human, but to really foul things up, you need a computer. So stated the introductory slide for the convention session “To Err is Human…To Correct Takes an HIM Professional” presented by Mary Jedlicka, RHIT, and Nick Judd, MBA, RHIA, from the Cleveland Clinic Health System.

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An Appropriate Use of Copy Forward, with a Caveat

In a June print story on bad documentation practices in electronic health records, Stephen Levinson, MD, warns against poorly designed systems that encourage busy physicians to copy old information forward with a single click, speeding them past performing and documenting care. Copying forward a previous review of systems without reviewing changes in the patient’s status, for example, is noncompliant and potentially fraudulent,...

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