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Discuss the importance of documentation in the medical record.
Solution
Especially in a continuous care operation, it is critical to record each patient's condition and
history of care.
This is important because
i) Such documentation ensures that the patient receives the best available care by way of passing
the information to all members of interdisciplinary team of caregivers.
ii) No information may result in a serious injury or death of a patient
iii) By proper documentation negative legal repercussions are always avoided.
iv) Medical records may serve as a legal document to verify the care provided
v) Medical records ensure accurate and timely claims
vi) Collection of data and results may be useful for further research in the subject for education
purposes.

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  • 1. Discuss the importance of documentation in the medical record. Solution Especially in a continuous care operation, it is critical to record each patient's condition and history of care. This is important because i) Such documentation ensures that the patient receives the best available care by way of passing the information to all members of interdisciplinary team of caregivers. ii) No information may result in a serious injury or death of a patient iii) By proper documentation negative legal repercussions are always avoided. iv) Medical records may serve as a legal document to verify the care provided v) Medical records ensure accurate and timely claims vi) Collection of data and results may be useful for further research in the subject for education purposes.