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The human factor

Is everything you need to know in the medical record? While we rely on the medical record (be it paper, electronic, or hybrid) to create a complete portrait of a patient's overall care, the human factor can interfere with making sure everything makes it into the record. There are ways to make the medical record a more complete document by improving the information entered into it, however, and one organization has been able to improve its bloodstream infections, falls, and other risks by challenging practitioners to remember different components of events or incidents.

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