Health records either help or hinder quality clinical record

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Question

Box 1-20 in Bates' provides you with a "Checklist to ensure a quality clinical record." There are several components to the HEENT exam and keeping the findings organized and clear may be challenging. Every health care system has its unique charting system. At the graduate level, you will learn how to SOAP chart. Please respond to the following in your discussion:

1. What approach do you currently use to document your findings?

2. Do you value one method over another? Why or why not?

3. How do electronic health records either help or hinder a "quality clinical record"?

Reference no: EM133724767

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