What does SOAP stand for in SOAP notes?
A) Standard data, Objective data, Assessment, and Progress
B) Subjective data, Objective data, Assessment, and Plan
C) Staff, Orders, Analysis, and Plan
D) Subjective data, Organization data, Analysis, and Progress
Benefits of using electronic physician's orders include
A) a standard format for orders used by all institutions.
B) saving paper by reducing the need for photocopies.
C) less information has to be transcribed.
D) fewer errors due to lost paperwork or misread orders.
One key benefit of electronic charting is that
A) entries can be made faster and are easier to read than on paper.
B) only a select few staff members can access the information.
C) professional organizations teach classes using electronic systems.
D) fewer nurses are needed on each inpatient unit.
Advantages of computerized medical records include their ability to be accessed by multiple users and via
A) dictated and transcribed files.
B) portable electronic devices.
C) mainframe systems.
D) physican order-entry systems.
Most health care facilities have converted from paper records to which format?
A) Dictated medical records
B) Scanned medical records
C) Electronic medical records
D) Video medical records
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