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Traditionally, medical records were written on paper and maintained in folders often divided into sections for each type of note (progress note, order, test results), with new information added to each section chronologically. Active records are usually housed at the clinical site, but older records are often archived offsite.
Doctors are pushing back against the growing use of noncompete agreements in medicine, a practice they say is putting patient care in jeopardy. How hospitals are fighting to keep their former ...
Electronic medical records, like other medical records, must be kept in unaltered form and authenticated by the creator. [24] Under data protection legislation, the responsibility for patient records (irrespective of the form they are kept in) is always on the creator and custodian of the record, usually a health care practice or facility.
After NBC News reported how North Carolina hospital system Atrium Health aggressively pursued ex-patients’ debts, Atrium said it would forgive the debts of 11,500 people.
Medical history taking may also be impaired by various factors impeding a proper doctor-patient relationship, such as transitions to physicians that are unfamiliar to the patient. History taking of issues related to sexual or reproductive medicine may be inhibited by a reluctance of the patient to disclose intimate or uncomfortable information.
Apr. 22—Almost 2,800 patients at Catholic Medical Center may have had their files containing personal and health information exposed in a third-party "data security incident," the hospital said ...