1. Write the Record as Soon as Possible
A timely maintained record is much easier to interpret afterwards and is much more accurate. Ensure that the medical records are recorded as soon as possible because it is easy to forget after a while. Try to write them down at the same time or as soon as the patient leaves because all the events are still very much in your head.
2. Organize the Files
Organizing the files in a proper fashion is the best way to quickly access a medical record if you aren’t using a hospital management system in your organization. Use hanging files or some boxes that are easily accessible and it won’t take a minute to fetch what you need. You can add creativity in the organization of files by the help of internet.
3. Train the Staff
As vigorous as you can be in writing the medical records, your staff needs to share the same enthusiasm too. You can train them to record every detail that is required from a patient and to double check them. Educate them with the importance of keeping medical records properly and organizing them and how to use them with free DICOM viewer for Mac. They need to maintain this habit, so it is beneficial for your organization.
4. Use Technology
Using technology is the best thing you can do to your healthcare organization. Not only it provides you with organized medical records but also with a number of advantages such as appointment scheduling, billing management, inventory control and much more. It will cut down the work for your staff so they can focus on more practical stuff rather than writing down the medical records by hand. Avail this technology as it can also store the medical records in its database, so you don’t have to worry about losing them.
5. Keep the Records Secure
Security has always been a concern in regard to record keeping in the medical industry. Medical records can be stolen or lost. You must ensure the security of your patients and prioritize that first. A health management system and a secure PACS system is very useful in keeping the data of not only the patients but also the staff secure in itself. Also it can be accessed easily with secure tools like Mac DICOM viewer free. This means that the risk of getting a physical record being stolen is lessened substantially.
6. Follow the Professional Practices
You need to maintain professionalism every time. The medical record should be maintained by asking questions but keeping the personal comments to yourself. You shouldn’t ask any irrelevant information that may differ from what you need. These comments or questions may come off as very offensive to the patient and they might backfire on your organization quickly. Make sure that your staff knows about these limits and not to exceed them.
7. Accurate and Legible Information
On the other hand, not recording enough information can also be very problematic for you. A hospital management system can list all the relevant information you need from a patient. Every information should be legitimate from the name of the patient to the medicines prescribed to them. Also, don’t look to make any alterations to the original record because it may change the actual information.