Shared Flashcard Set

Details

Ethics and Law: Unit 2 Review
Health Records and Health Information Management
19
Health Care
Undergraduate 3
08/28/2014

Additional Health Care Flashcards

 


 

Cards

Term
The _____ _____ is a legal document admissible in court as evidence
Definition
health record
Term
A ________ of the health record is taken to court
Definition
copy
Term
Health information departments are ___________ ___________ departments
Definition
support service
Term
_________ _________ departments affect hospital operation
Definition
Health information
Term
The health record is used to:
Definition
communicate information pertaining to the patient, prepare health service statistics, and maintain quality assessment
Term
_________ reports are included in the health record
Definition
Radiology
Term
The standards for the maintenance and the adequacy of health records is established by the ________
Definition
JCAHO
Term
Health records are stored as:
Definition
hard copy, microfilm, computerized form
Term
All departments that take part in the care of a patient must document that care in the ________ __________
Definition
health record
Term
The patient has access to his or her _________ _________ record
Definition
health care
Term
__________ __________ forms from the radiology department are part of the health record
Definition
Informed consent
Term
The radiologic technologist should not allow the patient to examine his or her _________ __________ while in the radiology department.
Definition
health record
Term
Hospitals have the right to charge a fee for copied __________.
Definition
radiographs
Term
Student radiologic technologists bear __________ regarding patient confidentiality.
Definition
responsibility
Term
Patients have the right to amend their _______ __________.
Definition
health record
Term
The process that monitors and evaluates the quality of the care and services provided to patients within a helath care facility is termed ____________________.
Definition
quality management
Term
Errors made in documentation are corrected by ______________________.
Definition
the person that made the error
Term
T/F: An authorization for treament, signed at admission, is an informed consent form.
Definition
False; it is NOT an informed consent form.
Term
Before a radiologic procedure is performed, a radiology _________ must be completed.
Definition
order
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