Proper filling and management of medical records entail systematic documentation of patient’s medical records. Considerably, good medical records, whether handwritten or electronic, are significant for the continuity of better healthcare. Good medical records play an essential role in having up-to-date, accurate, and professional health records (Taylor, 2019). Proper filling and management of medical records facilitate effective time management, help get more work done, and have few deadlines missed and high-quality work due to organization.
Management of medical records and proper filing allows the healthcare professionals to communicate effectively, thus saving on time. Ideally, the documentation communicates the quality of clinical care that healthcare professionals deliver. Proper filing reduces accidents and allows effective management of risks. Time management is achieved when people can communicate effectively. Ensuring that the clinical noes are completed accurately and up to date with the right information will facilitate less time for reporting tests and inaccurate diagnoses and treatments (Mathioudakis et al., 2016). Proper filing and documentation of clinical records allow fast decision-making, which frees up time that can be used in the diagnosis and treatment of another patient.
Proper filling and management improves data availability and reduces misinformation, thus aiding time management. Every entry in the medical record needs to be timed and dated to allow fast evaluation and planning of the patient’s treatment. Proper filing and management of medical records facilitates ease of retrieval and leads to low patient waiting time in the hospital setting (Taylor, 2019). Therefore, healthcare professionals must focus on accurate recording and managing clinical records to allow ease of access and save time in the long run. Good record-keeping and management of health records help healthcare professionals facilitate quality care and best practice due to effective time management that is significant for continuity of care and medical practice.
Differentiating the objective and subjective information is important since it determines the baseline of the health condition. Assessments comprise subjective data, which is information offered by the family, patient, and caregiver (Schoenmaeckers, 2013). Objective data offers measurable information and facts such as vital signs and physical examination. Understanding the variation between subjective and objective data is important while gathering information about the patient’s health condition.
Mathioudakis, A., Rousalova, I., Gagnat, A. A., Saad, N., & Hardavella, G. (2016). How to keep good clinical records. Breathe, 12(4), 369-373.
Schoenmaeckers, J. (2013). 16 Filling in the gap: how to explain the divergence between subjective and objective health measures. In Active aging and solidarity between generations in Europe (pp. 187-198). De Gruyter.
Taylor, K. (2019). The importance of keeping good medical records. Practice Management, 29(1), 16-20.