Documentation in Health Care Setting


Documentationin Health Care Setting

Documentationin Health Care Setting

Ina world where good health is directly related to productivity andwhich eventually culminates in economic development, up to standardmedical processes cannot be downplayed. The role of properdocumentation ranges from validating care that was given to a patientthus promoting accountability, to promoting healthcare organizations’efficiency such as serving as a database for statistical reportingand even as a planning tool for patient care. Medicaldocuments largely outlines the mutual benefit for both patients andhealthcare givers resulting from written or printed data that isholistic, in the sense of being accurate, complete, up to date,systematically organized, and readily accessible.

Documentationis key in patient’s safety, for instance in avoiding mismatch ofplanned procedures arising from patient misidentification (Kavuru,n.d).Such is key, in noting the rising number of litigations arising fromhealth care negligence. For the organization, it is a crucialevidence of compliance, thus safeguarding itself against penaltiessuch as fines, or loss of license (Kavuru,n.d).It follows that healthcare research takes center stage in today’sworld, particularly in an era of frequent epidemics. Here,documentation ensures effective transfer of knowledge on acase-to-case basis (Kavuru,n.d).Turning to reimbursement, documentation ensures healthcare providersget precise payments of what is due to them, by payer programs. Thisway they remain as going concerns.

Inconclusion, flawless healthcare documentation cannot be optional. Notwith worldwide targets such as the Sustainable Development Goals,which require a healthy population to come to fruition. In this case,documentation brings accountability that promotes the general healthstatus of populations, who consequently give more output thus raisingliving standards.


Kavuru,J. (n.d). InformedConsent: Why Patients Sue – A Review of Recent Litigation.Presentation, United States.