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Documentation Workflow Gaps in Hospital-Based Electronic Record Systems and Their Association with Patient Safety Risks

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This presentation explores how gaps in clinical documentation workflows within hospital-based electronic record systems can contribute to patient safety risks. Drawing on a systematic review of the literature, it examines issues involving medication documentation, handoffs and transitions of care, structured EHR data quality, patient identification, and nursing documentation, while highlighting opportunities for workflow redesign and the role of Health Information Management professionals in supporting safer digital documentation practices.

 

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