Patient charting. Turning a routine activity into an opportunity for injury prevention.
Injuries can be predicted and prevented. The first step in doing so is gathering data about who was injured and how. Because injury data is based on documentation in patients' medical charts, physicians play an important role in injury prevention. This article describes how to document all types of injuries, including those that are self-inflicted or caused by abuse.
McCollum
David
D
Ridgeview Medical Center, Waconia, USA.
Seifert
Sara
S
Anderson
Evelyn
E
D004282:Documentation / Q000941:ethics / Q000379:methods; D004992:Ethics, Medical; D006801:Humans; D019221:Mandatory Reporting / Q000941:ethics; D008499:Medical Records / Q000331:legislation & jurisprudence; D008910:Minnesota; D016728:Self-Injurious Behavior / Q000175:diagnosis / Q000517:prevention & control; D014754:Violence / Q000941:ethics / Q000331:legislation & jurisprudence / Q000517:prevention & control; D014947:Wounds and Injuries / Q000209:etiology / Q000517:prevention & control*