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How accurate is the medical record? A comparison of the physician’s note with a concealed audio recording in unannounced standardized patient encounters
OBJECTIVES: Accurate documentation in the medical record is essential for quality care; extensive documentation is required for reimbursement. At times, these 2 imperatives conflict. We explored the concordance of information documented in the medical record with a gold standard measure. MATERIALS A...
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| Udgivet i: | J Am Med Inform Assoc |
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| Main Authors: | , , , , |
| Format: | Artigo |
| Sprog: | Inglês |
| Udgivet: |
Oxford University Press
2020
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| Fag: | |
| Online adgang: | https://ncbi.nlm.nih.gov/pmc/articles/PMC7647276/ https://ncbi.nlm.nih.gov/pubmed/32330258 https://ncbi.nlm.nih.govhttp://dx.doi.org/10.1093/jamia/ocaa027 |
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