Risk Management & Patient Safety Dept.
Tips Timing of Record Entries – The New Documentation Trap
Risk managers seek to educate and reinforce the need for timed entries in the medical record to help document sequence and timeliness of care. Often times, Emergency Medical Treatment and Active Labor Act (EMTALA) and other compliance issues, hinge on the timing of various entries; however, hospitals and providers who have not converted to electronic medical records have very few timed entries...