What Is The Importance Of Accurate Documentation?

What is the main purpose of documentation?

The purpose of documentation is to: Describe the use, operation, maintenance, or design of software or hardware through the use of manuals, listings, diagrams, and other hard- or soft-copy written and graphic materials..

What happens if there are documentation errors?

If documentation is inaccurate: Researchers wouldn’t be able to conduct patient-related studies. Safe patient care is compromised due to a nurse’s incomplete/inaccurate clinical chart. Reimbursement/gross revenue is decreased.

Why is documentation important in the workplace?

Consistent documentation is essential for employers to properly evaluate employees and avoid liability connected with disciplining and terminating employees. Accurate documentation allows decisions to be made with as much information as possible.

How can we improve documentation?

Five Simple Ways to Improve Your Documentation SkillsPaint a Picture. Think of your documentation as painting a picture of the incident. … Use Chronological Narratives. Avoid the tendency that some EMS providers have to jump around as things enter their minds. … Stick to the Facts. … Abandon Home-Grown Abbreviations.

What are the two types of documentation?

Types of documentation include:Requirements – Statements that identify attributes, capabilities, characteristics, or qualities of a system. … Architecture/Design – Overview of software. … Technical – Documentation of code, algorithms, interfaces, and APIs.More items…

What is the need of record keeping?

Any record keeping system should be accurate, reliable, easy to follow, consistent as to the basis used and be very simple. Good record keeping is vital in regards to meeting the financial commitments of the business and providing information on which decisions for the future of the business can be based.

Why is it important to keep accurate records?

Keeping accurate records also allows you to check the health and safety performance of your business and make improvements where necessary. … It’s also essential everyone in your workplace is aware of the records they need to keep, including where they’re kept, so everyone can access them.

What is effective documentation?

Effective Documentation is a major sourcebook that offers technical writers, editors, teachers, and students of technical communication a wide variety of practical guidelines based on often hard to find research in the usability of printed and electronic media.

What are the characteristics of good documentation?

Characteristics of Good DocumentationGood Documentation is Up to Date.Good Documentation anticipates failure. … Good Documentation does not contain specific terms without clear definitions. … Good Documentation does not use words like “simply”. … Good Documentation is extensive, and has many examples. … Good Documentation has occasional pictures or even humor.

What do you mean by documentation?

Documentation is any communicable material that is used to describe, explain or instruct regarding some attributes of an object, system or procedure, such as its parts, assembly, installation, maintenance and use. … Documentation is often distributed via websites, software products, and other online applications.

What is another word for documentation?

attestationauthentication.corroboration.declaration.documentation.evidence.proof.substantiation.testament.More items…

Why is it important to have proper documentation?

Documentation help ensure consent and expectations. It helps to tell the narrative for decisions made, and how yourself or the client responded to different situations. In this same manor, it is important to record information that can help support the proper treatment plan and the reasoning for such services.

Why is it important to complete and maintain documentation?

Correct documentation plays an important part in the care industry . For example, the purpose of documentation is to be a legal document as evidence of care and treatment provided to a person, to identify residents status in order to document the need for care planning, implement and evaluation of care.

What is proper documentation?

Proper documentation provides evidence of what has transpired as well as provides information for researching discrepancies. Supporting documentation may come in paper or electronic form. In recent years, more often, official supporting documentation has moved from paper based to electronic forms.

Why are records so important?

Records are important for their content and as evidence of communication, decisions, actions, and history. As public institutions, school boards/authorities are accountable to the public and to government. … Records support quality program and services, inform decision making, and help meet organizational goals.

What are the three main types of records?

Types of recordsCorrespondence records. Correspondence records may be created inside the office or may be received from outside the office. … Accounting records. The records relating to financial transactions are known as financial records. … Legal records. … Personnel records. … Progress records. … Miscellaneous records.

How do you complete and maintain documentation?

Maintaining Documentation in an Aged Care Environment – It Doesn’t Need to be HardIdentify what documents are needed. … Determine who is responsible for obtaining information. … Ensure that all documentation complies. … Establish a document control process. … Establish review timelines.