Ongoing Professiona Practice Evaluation (OPPE)

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dadams
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dadams

How has the electronic medical record changed the approach to Peer review, chart auditing, quality review and compliance review?

Currently we monitor signatures, date, time and do not use abbreviations along with incomplete medication orders, time out, site marked, history and physical on chart within 24 hours of admission and/or updated prior to surgery, post op note immediately on record and medication reconciliation completed at admission, transfer or discharge.   Most of these items will be part of th EMR when fulling implemented.   What items are audit in the fulling EMR world?  Comments appreciated.

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