Tuesday, December 1, 2015
A well-documented medical record is essential to providing quality care and should tell a complete patient story. It should be documented expeditiously, but thoroughly, to enable physicians and other healthcare professionals to make timely decisions based on all available patient information.
In the age of the electronic health record (EHR), point and click medical record templates have improved the capture of structured data, but increased documentation demands and not-so-friendly user interfaces are burdening physicians. Physicians are spending more time entering data and working longer hours, while less time is spent interacting directly with patients. In addition, poor clinical documentation practices still exist, including:
- Gaps or delays in documentation- Data entry errors from manually typing or copying and pasting from other records- The loss of narrative documentation and detailed notes- Records missing documents or entries, which can compromise patient safety
Physicians need tools that help them focus on patient care, not on paperwork.
The latest advancements in speech-enabled documentation enable physicians to focus on patient care and maintain quality of life, while helping to meet documentation requirements and assisting in accurately telling a patient’s story.
Click the button below to receive a complimentary copy of the white paper entitled "The Patient Story: 7 Benefits of Narrative Dictation in an EHR Environment", which discusses the top benefits narrative dictation and speech-enabled documentation provide in an EHR environment.
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