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In this assignment, you will review data in a patient chart in detail and use critical thinking skills to determine what is present, deficient, incorrect, or incomplete in the patient chart.

HIM4650 Decision Support and Quality Management in Health Information Management.

Unit 4 Assignment

Record Deficiencies

In this assignment, you will review data in a patient chart in detail and use critical thinking skills to determine what is present, deficient, incorrect, or incomplete in the patient chart. You will also review how chart deficiencies could be caused by the use of CDS systems.

Instructions

Complete the activity Record Deficiencies.

Your completed activity must meet the following criteria:

Recognize incomplete or missing data in the patient chart.

Identify potential risks and benefits that might be associated with a CDS systems.

Recommend potential strategies for maximizing the benefits you identified.

Recommend potential strategies for minimizing the risks you identified.

Explain how chart inaccuracies impact patient care and clinical decision-making.

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