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HEIM360
Record Documentation Terms
| Term | Definition |
|---|---|
| Certification | when an accredited organization addresses a company or employee in an effort to make sure they are following certain standards and qualifications |
| Corporate Negligence | an organization takes responsibility for causing harm to a patient that could have been prevented. understanding the company can be held responsible for mistakes made in the facility. |
| Loss Reduction | minimizing the risks with current issues already in a facility, maintaining a good reputation by handling current risks properly. |
| Subpoena | a court issued paper that requires an organization member to attend court or to bring certain documents to court. |
| Sentinel Event | a severe unforeseen case in a hospital that requires strict documentation and prompt attention |
| Diagnostic | a symptom or tool that can help determine a problem |
| Risk Management | addressing potential hazards in your place of work and coming up with action plans to prevent unwanted situations. |
| Face Sheet | the front page of a health record similar to a cover sheet. it gives basic information about the patient that can be found easily. |
| Transcriptionists | a health care profession where you revise medical documents and act somewhat as a translator by understanding the medical terminology used and inputting the information correctly. |
| Clinical Data | the information taken that actually applies to the reasoning behind a doctors visit; the medical information in a patient record. |
Created by:
ajohnson23
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