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Subscribe on iTunes , Android , or Stitcher The label of “penicillin allergic” usually sticks to a patient’s medicalrecord forever. The trouble is that many recorded allergies are actually intolerances, such as nausea, vomiting, and diarrhea.
The new guidance is one of three policy documents dedicated to explaining FDA’s interpretation of this statutory authority and their approach to exercising scientific judgment in evaluating drug effectiveness. objective clinical outcomes in the context of detailed medicalrecord collection). In these recent experiences (i.e.,
PMR system – PMR systems are designed to provide comprehensive and up-to-date medicationrecords for each patient and supports better coordination with other healthcare providers. It also ensures that all relevant information is readily accessible, enabling pharmacists to make informed decisions and provide personalised care.
Don’t get me wrong – I’m not suggesting that you don’t document necessary pieces of information in the medicalrecord, or that you don’t document your interventions. But for basic interventions like I just described, it makes the physician look good when they “fix up” orders based on your informal recommendations.
These documents focused on why the sentinel event occurred. In this particular case, the physician folded the medication order when he placed it in the nurse’s bin. The nurse transcribed the medication order on the patient’s (nurse’s) record system. Both the label and the product had to match the order before the product.
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