Guidelines related to ed documentation

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Question: You are a team of HSIM directors for Peace Pirate Hospital and Dr. Collins, the emergency department (ED) chair, has asked for a documentation audit of ED records. As the HSIM directors, you conduct the audit, and the results were very poor. There was no consistency in the ED record documentation. As the HSIM directors, the medical staff by-laws are checked, and it is found that there are no specific guidelines related to ED documentation.

Reference no: EM133654924

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