ASTM E2117 Standard Guide for Identification and Establishment of a Quality Assurance Program for Medical Transcription
Данный раздел/документ содержится в продуктах:
- Техэксперт: Машиностроительный комплекс
- Картотека зарубежных и международных стандартов
- ASTM E2344 Standard Guide for Data Capture through the Dictation Process
- ASTM E2117 Standard Guide for Identification and Establishment of a Quality Assurance Program for Medical Transcription
- ISO ISO/IEC 7816-4 Identification cards - Integrated circuit cards - Part 4: Organization, security and commands for interchange - Third Edition
- DIN EN ISO 21549-1 Health informatics - Patient healthcard data - Part 1: General structure (ISO 21549-1:2013)
- ISO ISO/IEC 7816-15 AMD 2 Identification cards - Integrated circuit cards - Part 15: Cryptographic information application AMENDMENT 2: Error corrections and extensions for multi-application environments - First Edition
- DIN EN ISO 21549-1 Health informatics - Patient healthcard data - Part 1: General structure (ISO 21549-1:2013)
- 35
- ISO ISO/IEC 7816-4 Identification cards - Integrated circuit cards - Part 4: Organization, security and commands for interchange - Third Edition
- DIN EN ISO 21549-1 Health informatics - Patient healthcard data - Part 1: General structure (ISO 21549-1:2013)
- ISO ISO/IEC 7816-15 AMD 2 Identification cards - Integrated circuit cards - Part 15: Cryptographic information application AMENDMENT 2: Error corrections and extensions for multi-application environments - First Edition
- DIN EN ISO 21549-1 Health informatics - Patient healthcard data - Part 1: General structure (ISO 21549-1:2013)
- 35.240
- ISO ISO/IEC 7816-4 Identification cards - Integrated circuit cards - Part 4: Organization, security and commands for interchange - Third Edition
- DIN EN ISO 21549-1 Health informatics - Patient healthcard data - Part 1: General structure (ISO 21549-1:2013)
- ISO ISO/IEC 7816-15 AMD 2 Identification cards - Integrated circuit cards - Part 15: Cryptographic information application AMENDMENT 2: Error corrections and extensions for multi-application environments - First Edition
- DIN EN ISO 21549-1 Health informatics - Patient healthcard data - Part 1: General structure (ISO 21549-1:2013)
- ISO ISO/IEC 7816-4 Identification cards - Integrated circuit cards - Part 4: Organization, security and commands for interchange - Third Edition
- ISO ISO/IEC 7816-4 Identification cards - Integrated circuit cards - Part 4: Organization, security and commands for interchange - Third Edition
- DIN EN ISO 21549-1 Health informatics - Patient healthcard data - Part 1: General structure (ISO 21549-1:2013)
- ISO ISO/IEC 7816-15 AMD 2 Identification cards - Integrated circuit cards - Part 15: Cryptographic information application AMENDMENT 2: Error corrections and extensions for multi-application environments - First Edition
- ISO ISO/IEC 7816-15 AMD 2 Identification cards - Integrated circuit cards - Part 15: Cryptographic information application AMENDMENT 2: Error corrections and extensions for multi-application environments - First Edition
- ASTM E1762 Standard Guide for Electronic Authentication of Health Care Information
- ASTM E1959 Standard Guide for Requests for Proposals Regarding Medical Transcription Services for Healthcare Institutions
- Картотека зарубежных и международных стандартов
ASTM International
Standard Guide for Identification and Establishment of a Quality Assurance Program for Medical Transcription
N E2117
Annotation
This guide covers the establishment of a quality assurance program for dictation, medical transcription, and related processes. Quality assurance (QA) is necessary to ensure the accuracy of healthcare documentation. Quality documentation protects healthcare providers, facilitates reimbursement, and improves communication among healthcare providers, thus improving the overall quality of patient care. This guide establishes essential and desirable elements for quality healthcare documentation, but it is not purported to be an exhaustive list.
The QA personnel for medical transcription should have an understanding of the processes and variables or alternatives involved in the creation of medicolegal documents and an understanding of quality assurance issues as they pertain to medical transcription. Qualified personnel include certified medical transcriptionists (CMTs), quality assurance professionals, or individuals who hold other appropriately related credentials or degrees.
The medical transcriptionist (MT) and QA reviewer should establish a cooperative partnership so that the review outcomes are objective and educational to include corrective actions and remedies. Policies should be developed to minimize subjective review, which can lead to forceful implementation of one style at the expense of other reasonable choices. Objective review, including an appeals process, should follow organizational standards that have been agreed upon by the full team of QA personnel, MTs, and management staff.
*A Summary of Changes section appears at the end of this standard.
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