In this issue of the LNCtips.com newsletter, you'll learn how to analyze computer-generated medical records.
Analysis of Computer-Generated Records
Computer-generated records are those that are input directly into a computer by healthcare staff, either by typing or using a touch screen. I've worked with computerized records as a staff nurse. Good computer systems make a lot of sense in the clinical setting. The computer prompts make it easy to document thoroughly. However, that same thoroughness presents some special challenges for legal nurse consultants.