You Are Here

Caution: Checklists may lead to inaccurate documentation

Using a checklist form to document wound care can make the task easier and faster—and help ensure that you’ve captured all pertinent data needed for assessment, reimbursement, and legal support. But the form itself may not be comprehensive; some important fields may be missing.

Recently, we at Wound Care Advisor received a question from a clinician who was having trouble deciding how to code a patient’s wound in her hospital’s electronic health record (EHR). Her patient’s specific wound and tissue types weren’t available options in the dropdown menu on the software system. Luckily, on investigating, we discovered her system provided the option to override the checklist and add comments in a notes section. (more…)

Read More
Do NOT follow this link or you will be banned from the site!

Wound Care is Important. Please spread the word :)

RSS5k
Follow by Email102k
Facebook4k
Facebook