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Title: Documentation in health care
Authors: Tsang, ASM
Keywords: Documentation
Health care
Issue Date: Mar-1998
Publisher: Hong Kong Polytechnic University, School of Nursing
Source: Asian journal of nursing studies (亞洲護理學雜誌), Mar. 1998, v. 4, no. 1, p. 59-64 How to cite?
Journal: Asian journal of nursing studies (亞洲護理學雜誌) 
Abstract: Documentation in health care is the charting, recording and reporting of events which occurs during patients' hospitalization. It includes documenting admission, progress, responses to treaOUent and care, health education, discharge summary and incident reports.
The record serves as a legal document of the care and treatment provided to the patient. Moreover it is a means of monitoring and evaluating staff performance of patient care and thus reflects the standard of practice. Good charting must be concise. accurate, complete, legible, timely and logically organised. Concise and precise patient documentation is significant in providing quality care and ensuring continuity of care across disciplines.
ISSN: 1022-2464
Rights: © 1998 Department of Nursing and Health Sciences, the Hong Kong Polytechnic University and Sunway Design Ltd.
Appears in Collections:Journal/Magazine Article

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