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Tips to Avoid Trouble with Copying EHR Documentation

Tips to Avoid Trouble with Copying EHR Documentation | Technology | Scoop.it

Being able to copy and paste information in the EHR saves time and improves efficiency. But when physicians use the functionality inappropriately, it can also cause significant patient safety issues.

Robert Giannini, NHA, CHTS-IM/CP and Lorraine Possanza, DPM, JD, MBE, of the ECRI Institute, talked about some of these issues and how to mitigate risk during a presentation at the 88th annual American Health Information Management Association’s (AHIMA) annual convention held October 16-19 in Baltimore, MD. The ECRI Institute is a nonprofit organization that applies scientific research to improve patient care and safety.

“Electronic health records aren’t really the cause [of safety issues]—but they do play a role. It’s important to keep that in mind and to be cautiously aware of what’s going on,” said Possanza.

Much of the problem stems from an over-reliance on EHR automation and shortcuts, said Giannini. He reminded attendees that these shortcuts come in many forms, each of which require user validation. Examples of these shortcuts include the following:

  • Selecting data from an original source and reproducing it in another location either by keyboard (Ctrl + C to copy and Ctrl + V to paste) or with a mouse
  • Duplicating a note (i.e., cloning)
  • Bringing forward a portion of a previous note or the entire note
  • Automatically drawing data from another part of the record and inserting it using a specific command (i.e., auto-fill)
  • Automatically populating text in each record (i.e., auto-completion)

 

When physicians copy and paste information frequently, they run the risk of jeopardising the integrity of the information, said Possanza. “Is that information timely, accurate, and contemporary? It may not be,” she added.

Documentation that is copied and pasted can also lead to an over-abundance of information in the medical record. Physicians may inadvertently overlook important data. Unfortunately, this can lead to diagnostic error, said Giannini.

“The note becomes so big, long, and convoluted that you really can’t tell the true picture of what’s going on with the patient,” he added.

The ECRI Institute’s Copy and Paste Toolkit, a free resource, includes several examples of how physicians use copy and paste functionality incorrectly. Following are a few of them:

  • A physician copies and pastes admissions information, imaging study reports, and labs from a previous day’s notes into current-day progress notes, making the notes difficult to follow and interpret.
  • Communication by email in the patient portal includes information pasted from another patient’s chart.
  • Vital signs are copied and pasted from previous visits into the current-day history and physical exams.
  • Lab information is identified and copied but pasted into the incorrect chart.

 

Copy and paste compliance: 4 tips
​Possanza and Giannini provided these tips to help practices ensure compliance when using copy and paste functionality in the EHR.

  1. Work with your EHR vendor to ensure that copy and paste information is easily identifiable. This ensures that information can be verified for accuracy, and it facilitates review for edits.
  2. Ensure that you can trace the provenance of copied and pasted material. This allows practices to verify that the information is appropriate and accurate, and it may also increase the potential to defend the record and achieve billing compliance.
  3. Ensure adequate staff training and education regarding the appropriate and safe use of copy and paste functionality. Focus on the benefits as well as the potential patient safety risks from improper use.
  4. Monitor, measure, and assess copy and paste practices regularly. This ensures the integrity of the clinical record, the quality and safety of care rendered, and compliance with state and federal regulations.

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Technical Dr. Inc.'s curator insight, November 12, 2016 12:37 AM
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How to Create a Social Media Content Calendar for a Year

How to Create a Social Media Content Calendar for a Year | Technology | Scoop.it

Want to deliver quality social media content for the next year?

Interested in planning your social posts in advance?

A content calendar helps you deliver the right message to your audience at the right time.

In this article, you’ll discover how to plan a year’s worth of social media posts and content.

How to Create a Social Media Content Calendar for a Year by Leonard Kim on Social Media Examiner.

 

#1: Create a Spreadsheet

The first step in creating a content calendar is to set everything up in a spreadsheet. You can do this with Excel or Google Sheets.

On the top line of the sheet, fill in the days of the week.

Add the days of the week to the top row of your content calendar.

Next, add a line for each week of the year to separate your content by weeks. The left half of your calendar will look something like this:

Add a row for each week of your content calendar.

Fill out your calendar for the entire year. After you add the days and weeks, you may want to apply color so you can more easily distinguish the sections.

#2: Add Events and Holidays

The next step is to do a Google search to find out what events are happening in your industry so you can add them to your calendar.

If you work in fashion, for example, look up the major events that happen throughout the entire year, such as the tradeshow Magic or Fashion Week.

If you work in healthcare, identify all of the awareness days, weeks, and months. In healthcare, there are dozens of these lists available.

Search for industry events you can incorporate into your content calendar.

In your empty calendar template, enter the events into the particular days, weeks, or months when they’ll happen. This way, you can plan your content according to when those events occur.

Your content calendar will begin to look like this:

Add events and holidays to your content calendar.

Next, add national holidays like the Fourth of July, Christmas, New Year’s Day, and so forth. You can see Thanksgiving is mentioned on line 333 in the image above.

Think outside the box, too. Do your business or social pages have a tie-in with other industries? For example, in healthcare, voice treatments can relate to music, and orthopedics can relate to sports. Find other events that are going on, such as the World Series or the beginning of basketball season, and add them to your calendar.

#3: Identify Content Themes

Now you’re ready to start brainstorming content themes. Take into consideration what your audience wants to see, how you can educate or entertain them, and whatproducts and services you want to promote.

Also identify what your business’s internal priorities are. If you’re a fashion line, your primary priority is to sell clothing. If you’re a musician, your primary goal is to sell albums or book shows. Start thinking about how you can incorporate your business priorities into your content.

Once you’ve compiled a list of themes, assign two themes to each day of the week on your content calendar. I recommend a 60/40 or 80/20 split between educating and entertaining, and promoting your business, products, and services. You don’t want to promote your offerings all of the time or people will lose interest and stop visiting your page. Here’s what the themes might look like on your content calendar.

Note themes for each day of the week on your content calendar.

#4: Generate Topics for Each Theme

Once you have your themes in place, you need to generate topics for them.

It’s important that you produce the types of content that your target audience is looking for. To find out what people are interested in, use a tool like BuzzSumo to research the content that other people are sharing.

For example, suppose your Monday theme is food. If you search for “food” in the paid version of BuzzSumo, you can see a list of the most shared headlines in the timeframe of your choosing.

BuzzSumo can help you find out what type of content your audience is interested in.

Use these insights to inform the headlines and introductions for your content. Remember to put your own spin on the content you create; don’t plagiarize.

Now tie your topics into your calendar of events. If you’re in healthcare and basketball season is starting, your topics might relate to common injuries that basketball players face. If you’re in the fashion industry and Fashion Week is coming up, start showcasing your new inventory and do previews of what’s in store during that event.

When you add topics to your content calendar, break down your primary topic and secondary topic on a weekly basis.

Add topics to your content calendar.

Sticking to a theme for the week helps you break your calendar into bite-sized chunks. For the topic “food,” for example, you can showcase foods that help improve skin health.

You want to tie your content into a theme that your audience can relate to, as opposed to randomly generating content that may not be appropriate for the season. For example, an article about how much water you need to drink is probably more interesting to people in summer months than during the winter.

#5: Detail Individual Posts

Do your social media accounts focus on images? Video? Writing? Figure out how toincorporate all of your main content types into your calendar.

If articles drive your account, for example, have some ready to go, Monday through Friday, that relate to both your primary and secondary themes.

Quote cards are an easy way to cover your main weekly topic of focus. In healthcare, for example, you could cover health facts or share health tips. A tool like Canva makes it easy to create quote cards and images.

Quote cards are a great way to cover your main topics each week.

Now start filling your calendar with the content you want to create. Eventually, it will look something like this.

Plan out your content to publish throughout the calendar year.

It doesn’t really matter if you post once a day or 10 times a day. What matters is to make sure you can maintain the volume of content for your calendar. If you work at a large company and have a lot of resources dedicated to content creation, publish as much as you can. If you work at a small company or by yourself, try to publish at least two pieces of content each day.

Be sure to maintain consistency in the volume of content you publish.

Conclusion

Doing an entire year of content planning up front allows you to focus on creating and delivering quality content every week. Try to stay a few weeks ahead in your content creation because it’s easy to fall behind when you’re posting something new every day.

As your audience grows more familiar with your content and your business, they’ll start expecting to see posts at certain times. Keep to your schedule and post your content at the same time each day. You can use tools like Buffer or Hootsuite to do this, and as an added bonus, they’ll post on multiple platforms for you.


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Brian Morris's Spec Ops Shooting PDF Ebook Download Free

Brian Morris's Spec Ops Shooting PDF Ebook Download Free | Technology | Scoop.it

Brian Morris's Spec Ops Shooting PDF ebook download. Feel free to share this book with your friends on Facebook! Sometimes providence strikes when you least expect. Okay, maybe “providence” is going a little far, but it’s safe to say that unexpected treasures sometimes arise when we aren’t looking. This may be the case with my newest find: an FN FNP-45. I recently found myself at Ray’s Hardware & Sporting Goods in Dallas cruising the aisles to window shop for a Ruger SR9. I found them, looked at them, and felt somewhat underwhelmed. On a second pass through the cases I spotted a used, excellent condition FNp-45. While this was the last thing I had on my mind, the price tag of $399 screamed “too good to pass up.” After walking around the store for a bit to think it over, I slapped the plastic down (referring to my credit card, not the pistol) and walked out with a big ole’ .45 ACP, complete with three 14-round magazines and the largest pistol case I could imagine (seriously, FN makes their cases for these comically large). I own a number of .45 ACP handguns, and they are all 1911s. This is my first foray into shooting the “flying ashtray” in something other than John Browning’s masterpiece. I had contemplated an HK45 a couple months back when someone offered to trade me for a Sig P226, but I passed on the opportunity. Now, I find myself with an equally imposting beast of polymer and steel. First impressions: as earlier implied, this gun is a beast. It’s big. Maybe not for those accustomed to high cap .45s and larger pistols in general, but to this 9mm afficianodo this feels like a behemoth. Although, in all fairness, from a weight perspective this 33 oz fighting machine is actually lighter than a full-size 1911 which weighs in close to 38 ozs. But, from a size perspective it has a big, blocky slide and a big, squarish grip. I do not have huge hands so grip size is always a big consideration for me. I will, though, say that for this being a 14 round capacity .45 the grip doesn’t feel unmanageable and is actually kind of comfortable. The checkering pattern is pretty aggressive, which is a complaint I’ve read from others. I actually like aggressive checkering so it’s a nice touch in my book. The DA trigger is fairly heavy at 10 lbs, but the SA trigger is where this seems to shine. It measures just a hair over 4 lbs and breaks very crisply after some light take-up. I’m actually very impressed at the SA trigger pull in dry fire; it’s light years ahead of most DA/SA pistols I’ve owned and seen. In comparison to the CZ-75b, there is no comparison: the venerable CZ’s trigger feels like a gritty marshmallow. My Beretta 92fs might break just as crisp, but it’s also over a full pound heavier. And, the Sigs I’ve owned can’t compare with this either. Additionally, I like the placement of the decocking lever. Some people with weak constitutions may be uncomfortable with how this pistol decock the hammer at full speed (unlike a Sig which can be let down graduallly), but it’s perfectly safe and the pistol employs both a decock hammer notch and a firing pin block to ensure there is no chance of an accidental discharge when used correctly (note: on my FNP the lever is a decocker only; on the USG version and on the FNX it is both a decocker and a manual safety that allows “cocked and locked” carry). In addition to the trigger and decocker, I like the shape of the mag release as it provides greater surface area than a standard round button. There’s also some “intangible” aspect of this pistol that appeals to me. I can’t quite put my finger on it, but it just feels good in hand. I’m anxious to get this to the range to see what it can do. Unfortunately, FN pistols aren’t well known to many, but anyone who knows much about firearms will recognize the FN name as one of the oldest and most respected names in the business. Did you know that FN makes around 80% of the small arms in use by the US military? And, while being a little less popular with the civilian market reduces the level of aftermarket support from third party vendors and parts suppliers, I like the idea of owning something a little different that isn’t in everyone else’s holster. I’ll post more on this pistol once it makes its first trip to the shooting stall. FNP-45. Huh, never would have seen that one coming. Visit this page to get access to Spec Ops Shooting Pdf guide.


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Rescooped by Stephen Lopez from Metaglossia: The Translation World
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US Military Equips Soldiers in the Field With Machine Translation | Slator

US Army rolls out apps that provide speech-to-speech, text-to-text machine translation, which can be accessed through Windows or Samsung portable devices

The US Army will soon reach full deployment of its so-called MFLTS project. MFLTS stands for Machine Foreign Language Translation System and is “the overarching Army Program with Department of Defense interest” to provide soldiers with machine translations via speech and text, explained MFLTS Product Director Michael Beaulieu in a presentation back in 2012.

An unclassified document Slator saw showed the projected total spend on MFLTS Research, Development, Test & Evaluation from 2013-16 amounted to USD 12.5m as of 2014. The program primarily comprises machine translation, automatic speech recognition, and optical character recognition. If one were to speculate just going by the screen grabs from Beaulieu’s presentation (shown below), the MFLTS works with, at least, two possible vendors; US defense contractor Raytheon for speech-to-speech and SDL for text-to-text.

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Beaulieu once called language and linguistic capabilities one of the seven key cornerstones for success in the US counterinsurgency strategy. And the MFLTS drives those capabilities by rolling out machine translation tools via portable devices like laptops and smartphones.


“Unfortunately there aren’t enough linguists to go around and not all of them can put on a rucksack and go up and down mountains in Afghanistan and follow troops around,” MFLTS Product Director Beaulieu pointed out, explaining that apps deployed under MFLTS filled a linguistic capability gap, which was “pretty important stuff.”

The earliest versions would use pre-scripted phrases (e.g., Get out of the car. What is your brother’s name? Do you have a bomb?). The soldier would touch the phrase and the device would “speak” in the other language to the native speaker.

MFLTS-deployed software are now used for tasks like, say, checking just how accurate an offered (human) translation is. However, it “does not replace human linguist support” from interpreters and translators, according to a November 30, 2016 US Army blog post, but “successfully augments and complements” it.

Apps rolled out under the program are designed to run on off-the-shelf devices (both commercially available and government issued) and are currently available in three configurations: Web-enabled, Mobile, and Portable.

Mobile is available via Army Golden Master, a system Microsoft had made Windows-compatible, where text-to-text and speech-to-speech translation can be accessed through a mobile device, such as a laptop.

Portable is used with the Nett Warrior system, where speech-to-speech translation can be accessed via smartphone, like the Samsung Galaxy Note II.

The same blog post said Web-enabled text-to-text is presently being integrated into the weapons system (i.e., DCGS-A) that generates intelligence for the army, “with a planned fielding time period of late 2016 or early 2017.”

The US Army plans to expand the MFLTS program to include a speech-to-text app “in the near future.”

Said Mike Beaulieu back in 2011, “If you can’t talk to the people who you are trying to win the hearts and minds of, it is kind of hard to win a counterinsurgency.”

The Army published the latest in a series of RFIs for the program on November 3, 2016 to develop Dari and/or Sorani Kurdish speech-to-speech translation language packs.


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Video Cash Consoles by Shayn Mcfarland Review – Video Hosting Indexing, Backlinking SEO-optimizing Traffic Software To Injects cash Into your bank account While Driving Hordes Of Free Traffic To Yo...

Video Cash Consoles by Shayn Mcfarland Review – Video Hosting Indexing, Backlinking SEO-optimizing Traffic Software To Injects cash Into your bank account While Driving Hordes Of Free Traffic To Yo... | Technology | Scoop.it
Video Cash Consoles by Shayn Mcfarland – Video Hosting Indexing, Backlinking SEO-optimizing Traffic Software To Injects cash Into your bank account While Driving Hordes Of Free Traffic To You…

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23 best VR games: best virtual reality games for PC, consoles and mobile

23 best VR games: best virtual reality games for PC, consoles and mobile | Technology | Scoop.it

Even though the VR scene is just warming up, the best VR games are already here.


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Two New Sony PlayStation 4 Consoles Coming this Holiday Shopping Season

Two New Sony PlayStation 4 Consoles Coming this Holiday Shopping Season | Technology | Scoop.it
New report says that Sony will introduce two new consoles on September 7.

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It's been a year It doesn't surprise me Happy christmas I wrapped it up and sent it With a note saying i love you.

It's been a year It doesn't surprise me Happy christmas I wrapped it up and sent it With a note saying i love you. | Technology | Scoop.it
Decoração,Fotografia,photography,decoration,decor,second life

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Tips to Avoid Trouble with Copying EHR Documentation

Tips to Avoid Trouble with Copying EHR Documentation | Technology | Scoop.it

Being able to copy and paste information in the EHR saves time and improves efficiency. But when physicians use the functionality inappropriately, it can also cause significant patient safety issues.

Robert Giannini, NHA, CHTS-IM/CP and Lorraine Possanza, DPM, JD, MBE, of the ECRI Institute, talked about some of these issues and how to mitigate risk during a presentation at the 88th annual American Health Information Management Association’s (AHIMA) annual convention held October 16-19 in Baltimore, MD. The ECRI Institute is a nonprofit organization that applies scientific research to improve patient care and safety.

“Electronic health records aren’t really the cause [of safety issues]—but they do play a role. It’s important to keep that in mind and to be cautiously aware of what’s going on,” said Possanza.

Much of the problem stems from an over-reliance on EHR automation and shortcuts, said Giannini. He reminded attendees that these shortcuts come in many forms, each of which require user validation. Examples of these shortcuts include the following:

  • Selecting data from an original source and reproducing it in another location either by keyboard (Ctrl + C to copy and Ctrl + V to paste) or with a mouse
  • Duplicating a note (i.e., cloning)
  • Bringing forward a portion of a previous note or the entire note
  • Automatically drawing data from another part of the record and inserting it using a specific command (i.e., auto-fill)
  • Automatically populating text in each record (i.e., auto-completion)

 

When physicians copy and paste information frequently, they run the risk of jeopardising the integrity of the information, said Possanza. “Is that information timely, accurate, and contemporary? It may not be,” she added.

Documentation that is copied and pasted can also lead to an over-abundance of information in the medical record. Physicians may inadvertently overlook important data. Unfortunately, this can lead to diagnostic error, said Giannini.

“The note becomes so big, long, and convoluted that you really can’t tell the true picture of what’s going on with the patient,” he added.

The ECRI Institute’s Copy and Paste Toolkit, a free resource, includes several examples of how physicians use copy and paste functionality incorrectly. Following are a few of them:

  • A physician copies and pastes admissions information, imaging study reports, and labs from a previous day’s notes into current-day progress notes, making the notes difficult to follow and interpret.
  • Communication by email in the patient portal includes information pasted from another patient’s chart.
  • Vital signs are copied and pasted from previous visits into the current-day history and physical exams.
  • Lab information is identified and copied but pasted into the incorrect chart.

 

Copy and paste compliance: 4 tips
​Possanza and Giannini provided these tips to help practices ensure compliance when using copy and paste functionality in the EHR.

  1. Work with your EHR vendor to ensure that copy and paste information is easily identifiable. This ensures that information can be verified for accuracy, and it facilitates review for edits.
  2. Ensure that you can trace the provenance of copied and pasted material. This allows practices to verify that the information is appropriate and accurate, and it may also increase the potential to defend the record and achieve billing compliance.
  3. Ensure adequate staff training and education regarding the appropriate and safe use of copy and paste functionality. Focus on the benefits as well as the potential patient safety risks from improper use.
  4. Monitor, measure, and assess copy and paste practices regularly. This ensures the integrity of the clinical record, the quality and safety of care rendered, and compliance with state and federal regulations.

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inquiry@technicaldr.com or 877-910-0004
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Technical Dr. Inc.'s curator insight, November 12, 2016 12:37 AM
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This is our first look at one of the two brand new PS4 consoles launching next month. @investorseurope 

This is our first look at one of the two brand new PS4 consoles launching next month. @investorseurope  | Technology | Scoop.it
Sony has scheduled a media event for September 7th where the company is expected to unveil an upgraded version of the PlayStation 4 – sadly for Sony, the tech world will focus on a different company that day.

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The standard model will be slimmer and lighter than the current PS4 console, which has already been discontinued. Apparently, Sony has cut production of the PS4 ahead of the September news conference where its PlayStation business will be the star of the show."#blockchain

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Investors Europe Stock Brokers's curator insight, August 26, 2016 7:30 AM

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The standard model will be slimmer and lighter than the current PS4 console, which has already been discontinued. Apparently, Sony has cut production of the PS4 ahead of the September news conference where its PlayStation business will be the star of the show."#blockchain

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NRM consoles Ragga Dee with a juicy job, appoints him as Wealth Creation Officer.

NRM consoles Ragga Dee with a juicy job, appoints him as Wealth Creation Officer. | Technology | Scoop.it
After losing the Kampala Mayoral seat, celebrated musician Ragga Dee real names Daniel Kazibwe has landed a juicy job in the new NRM government

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New Apple TV is said to focus on games, challenging traditional consoles

New Apple TV is said to focus on games, challenging traditional consoles | Technology | Scoop.it

"Vying for a spot in living rooms, Apple — which is expected to announce its new system on Wednesday — may have a tough time luring gamers who use an Xbox One or PlayStation ..."


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