What Is The Purpose Of Documentation?

What is the purpose of documentation quizlet?

What is the purpose of documenting.

it provides a communication tool for the health care team; maintains a written record of the history, care, and treatment of the patient; is a legal record.

what is the nursing care plan?.

How do you find the purpose of a document?

You can think of a document with the purpose of “inform” as one that provides new information, or primarily new information, to the reader(s). Whereas, a document that has the purpose of summarizing will review material that is already known, or some of it is known, to the readership of the document.

What is a documentation tool?

A documentation generator is a programming tool that generates software documentation intended for programmers (API documentation) or end users (end-user guide), or both, from a set of source code files, and in some cases, binary files.

What is the difference between purpose and scope of a document?

Purpose- It is the reason or aim for which something is done. Scope- Scope refers to the extent of area or range a matter is dealt with.

Why is it important to identify the purpose and audience for a document?

It is important to know the audience and purpose of your document so that you are able to determine the style of writing, what language to use, what information it should include and the layout of the document. … Letters are used to inform people, provide them with an understanding or to persuade them to do something.

What are five characteristics of good medical documentation?

6 Key Attributes of a Medical RecordAccuracy of the medical record. The accuracy of the data refers to the correctness of the data collected. … Accessibility of the medical record. … Comprehensiveness of data. … Consistency of information in the medical record. … Timeliness of information. … Relevancy of the medical records.

What is the main purpose of the document?

Although there are many explicit purposes for creating a scientific or technical document, there are four general categories: to provide information, to give instructions, to persuade the reader, and to enact (or prohibit) something.

What is documentation and why is it important?

Documentation help ensure consent and expectations. It helps to tell the narrative for decisions made, and how yourself or the client responded to different situations. In this same manor, it is important to record information that can help support the proper treatment plan and the reasoning for such services.

What is the purpose of documentation in healthcare?

Good documentation is important to protect your patients. Good documentation promotes patient safety and quality of care. Complete and accurate medical recordkeeping can help ensure that your patients get the right care at the right time.

What is the purpose of business document?

A business uses documents and reports to share information, data and numbers to improve operations, management and sales, among other reasons. The term “business documents” usually refers to several types of documents and reports, each of which has different sections and content.

What are the four purposes of medical records?

It tells the patient’s “story”: the presenting problem and the treatment received; Helps to plan and evaluate a patient’s treatment; Creates a permanent record for the patient’s future care; Builds a database to evaluate the effectiveness of treatment that may be useful for research and education.

What is the meaning of documentation?

Documentation is any communicable material that is used to describe, explain or instruct regarding some attributes of an object, system or procedure, such as its parts, assembly, installation, maintenance and use. Documentation can be provided on paper, online, or on digital or analog media, such as audio tape or CDs.