
Clinical Domentation
Tips for Great Clinical Documentation
Consistency in Diagnosis Documentation In the previous post of this series, I outlined the importance of using terms like “probable,” “possible,” “likely,” and “not ruled
Consistency in Diagnosis Documentation In the previous post of this series, I outlined the importance of using terms like “probable,” “possible,” “likely,” and “not ruled
Malnutrition in Hospitalized Patients Malnutrition is a very common condition in hospitalized patients. Up to 40% may present with some degree of malnutrition(1), while severe
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