Accurate for billing and coding what is important about medical record documentation?
purposes
Any undesirable experience when is it a reportable adverse event?
associated with use of medical
product in a patient; should be
reported to FDA if the outcome is:
death, life-threatening, hospitalization,
disability/permanent damage,
congenital anomaly/birth defect,
required intervention to prevent
permanent damage
, PANCE Precision - Professional Practice
Be clear about reasons for prescribing what should be included when prescribing medications?
Consider patient's medication hx
before prescribing
Consider other factors that might alter
benefits/harms of tx mt Consider
patient's ideas, concerns, and
expectations
Select effective, safe, and cost-
effective medicines individualized for
patient Adhere to national guidelines
and local formularies
Write unambiguous legal
prescriptions on correct
documentation Monitor outcomes
both beneficial and adverse
Communicate and document
prescribing decisions and reasoning
Prescribe within limitations of
knowledge, skills, experience, and
license