Maintenance of records and documentation includes the following:
- Keeping accurate, complete, and appropriately formatted records, as evidenced in student data log
- Assuring that files, bench notes, and other collected data are organized at all times
- Maintaining both manual and electronic files, including computer databases
Process/Skill Questions:
- Why is it important to keep accurate and standardized records in the field of medicine?
- What data comprises medical record keeping?
- What are the possible effects of lack of documentation in the field of medicine?
- What resources and tools are available to manage medical information?
- What data is maintained through medical record keeping?