There is no more cut and paste from old records - all smiles Posted: Apr 24th, 2016 - 11:03 pm In Reply to: If your hospital is JCAHO accredited, - you should have
Hello,
I type for several facilities wherein they are not permitted to cut/paste from old records.
So what happens? The dictator states: "Past medical History, I'll fill that in later."
Duh, I go back into the report, and they cut and pasted from old reports.
Cut/paste from old records is very dangerous because things change, medications changes, mistakes get carried forward.
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