News: Partnership for Health IT Patient Safety releases copy and paste toolkit
CDI Strategies, March 10, 2016
Want to receive articles like this one in your inbox? Subscribe to CDI Strategies!
One of the biggest concerns regarding electronic health record implementation has been the proliferation of physicians simply copying and pasting information from the previous days’ record forward. Now, there’s new guidelines on effective use of this tool from the Partnership for Health IT Patient Safety, a collaborative organized by the ECRI Institute, which released a Health IT Safe Practices: Toolkit for the Safe Use of Copy and Paste, in February.
The comprehensive toolkit, created by the organization’s 40-person copy-and-paste workgroup, uses case studies and provides recommendations on how to navigate the copy/paste functionality in an electronic health record system, a challenge CDI specialists are all too familiar with. Following review and discussion, the group identified four “Safe Practice Recommendations” for the use of copy and paste:
- Provide a mechanism to make copy-and-paste material easily identifiable.
- Ensure that the provenance of copy-and-paste material is readily available.
- Ensure adequate staff training and education regarding the appropriate and safe use of copy and paste.
- Ensure that copy-and-paste practices are regularly monitored, measured, and assessed.
The workgroup included healthcare providers, health information technology (IT) developers, academic researchers, patient safety organizations, liability insurers, and professional societies. This is the group’s first release in what their website says will be a series of recommendations designed to improve health IT safety.
Want to receive articles like this one in your inbox? Subscribe to CDI Strategies!
Related Products
-
Briefings on APCs
Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...
-
HIM Briefings
Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...
-
Briefings on Coding Compliance Strategies
Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...
-
Briefings on HIPAA
How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...
-
APCs Insider
This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...
Most Popular
- Articles
-
- Don't forget the three checks in medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Understanding nursing roles in quality improvement
- OB services: Coding inside and outside of the package
- Understand and overcome language, cultural barriers
- Practice the six rights of medication administration
- Complications from immobility by body system
- Pneumonia with a negative chest x-ray: Clinical diagnoses, physician documentation, and coding guidelines
- Surveillance is crucial to LTC infection control
- Prevent dehydration with nursing interventions
- E-mailed
-
- OB services: Coding inside and outside of the package
- Use patient safety coaches to boost compliance
- Q&A: Obtaining documentation for patients' body mass index
- Pregnancy coding: Understanding the differences between ICD-9-CM and ICD-10-CM
- Feature: Improving the collaboration between CDI and case management
- Coding for biopsies in ICD-10-PCS
- Clear up confusion surrounding medical necessity
- Case management or HIM? Finding the right home for CDI
- Searched
