Critical thinking rock records professional#

Omission for relevant information is another common pitfall in record keeping process. If they occur, they should be corrected immediately to allow maintenance of high quality information which is not ruined by misplaced information (Ziesemer, 2013). Excessive number of abbreviations means that there will distinctively be confusion to another person who will visit the records in future.Īlthough, errors are common during recording they should be avoided to the highest point. Excessive abbreviations mean that a key needs be consulted from time to time to give the meaning. The other pitfall that may be avoided is the use of too many abbreviations (Ziesemer, 2013). Records are kept so that they can be read and reviewed by another person in future. All records should be read easily and they would serve no purpose if they cannot be read (Ziesemer, 2013). The other pitfall is based on illegibility of records. Patient’s and care provider’s words should be taken seriously and recorded accordingly. Accurate and pertinent information should be recorded properly (Ziesemer, 2013).

Critical thinking rock records professional#

According to the medics’ ethics, record keepers should be professional enough to maintain positive remarks about the patient. The second pitfall is the use of bad language. If the clinician states that certain information should be included in a medical record, the record keeper should ensure that the information or the items required are involved. One pitfall is the omission of required information (Ziesemer, 2013).

There are various pitfalls that influence the ability of an office to maintain proper records. However, this is no always achieved in most medical facilities. Therefore, proper record keeping is a fundamental part of outstanding medical care. Keeping excellent medical records is significant for continuity, especially at instances where several clinicians are required to offer care.