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2020-05-20T12:01:36-05:00
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Search Results for
Problem List
Abstract Number: M11
CHANGES IN DOCUMENTATION OF THE PRINCIPAL PROBLEM AT ADMISSION AND DISCHARGE IN THE ELECTRONIC HEALTH RECORD: A RETROSPECTIVE DESCRIPTIVE ANALYSIS
SHM Converge 2022
Background: The diagnostic process is dynamic – as additional information becomes available and diagnostic uncertainty is addressed, diagnosis evolves. An accurate and updated problem list in the electronic health record (EHR) should reflect modifications and refinement of the working diagnosis (1). Anecdotally, this does not happen: many providers do not the update problem list or [...]
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