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APA Format-250. words

AHIMA Competency l.4: Determine compliance of health record content within the health organization.

 

The Emergency Department (ED) chair has asked for a documentation audit of ED records.  Your staff conducted the audit, the results of which were very poor.  There was no consistency in the ED record documentation. You check the medical staff by-laws and realize that there are no specific guidelines related to ED documentation.

Question:

1. Determine documentation requirements for ED reports.  List them here.

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