nursing record - definitie. Wat is nursing record
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Wat (wie) is nursing record - definitie

SYSTEMATIC DOCUMENTATION OF A SINGLE PATIENT'S MEDICAL HISTORY AND CARE ACROSS TIME
Medical records; Health record; Medical chart; Medical records department; Nursing record; Nursing records; Medical Records Department; Health records; Case notes; Medical Records; Patient record; Health records personnel; Retrospective chart review; Retrospective chart reviews; RCRs; Patient data; Ward clerk (hospital)
  • A medical record folder being pulled from the records
  • A ward clerk in the Menn Hospital, Colorado

Medical record         
The terms medical record, health record and medical chart are used somewhat interchangeably to describe the systematic documentation of a single patient's medical history and care across time within one particular health care provider's jurisdiction. 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.
Gerontological nursing         
  • Elderly woman
SPECIALTY OF NURSING PERTAINING TO OLDER ADULTS
Geriatric care; Geriatric nursing
Gerontological nursing is the specialty of nursing pertaining to older adults. Gerontological nurses work in collaboration with older adults, their families, and communities to support healthy aging, maximum functioning, and quality of life.
Orthopaedic Nursing (journal)         
JOURNAL
Orthopedic Nursing; Orthop Nurs; Orthopaedic Nursing; Orthop. Nurs.
Orthopaedic Nursing is the bimonthly peer-reviewed nursing journal of orthopaedic nursing. It is published by Lippincott Williams & Wilkins.

Wikipedia

Medical record

The terms medical record, health record and medical chart are used somewhat interchangeably to describe the systematic documentation of a single patient's medical history and care across time within one particular health care provider's jurisdiction. 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 care providers and is generally enforced as a licensing or certification prerequisite.

The terms are used for the written (paper notes), physical (image films) and digital records that exist for each individual patient and for the body of information found therein.

Medical records have traditionally been compiled and maintained by health care providers, but advances in online data storage have led to the development of personal health records (PHR) that are maintained by patients themselves, often on third-party websites. This concept is supported by US national health administration entities and by AHIMA, the American Health Information Management Association.

Because many consider the information in medical records to be sensitive private information covered by expectations of privacy, many ethical and legal issues are implicated in their maintenance, such as third-party access and appropriate storage and disposal. Although the storage equipment for medical records generally is the property of the health care provider, the actual record is considered in most jurisdictions to be the property of the patient, who may obtain copies upon request.