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Clinical audit. Clinical audit is a process that has been defined as a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change. The key component of clinical audit is that performance is reviewed (or audited), to ensure that what ...
A medical record includes a variety of types of "notes" entered over time by healthcare professionals, recording observations and administration of drugs and therapies, orders for the administration of drugs and therapies, test results, X-rays, reports, etc. The maintenance of complete and accurate medical records is a requirement of health ...
A review of systems (ROS), also called a systems enquiry or systems review, is a technique used by healthcare providers for eliciting a medical history from a patient. It is often structured as a component of an admission note covering the organ systems, with a focus upon the subjective symptoms perceived by the patient (as opposed to the objective signs perceived by the clinician).
Periodontal charting, which is a part of your dental chart, refers to the six measurements (in millimeters) that are taken around each tooth. The charting is usually done during dental checkups ...
The CAGE questionnaire is a list of four simple questions that’s used to check for signs of alcohol dependence. While it’s not a foolproof test, it can be a useful tool that only requires a ...
Description. This template should be used for all outbreak, epidemic and pandemic medical cases charts based on {{ Bar box }} to maintain consistency. It displays horizontal bars for up to 5 different classifications of cases for each valid date or interval. It offers two columns to make numbers explicit and to show relative or absolute changes.
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