Explanation should include
- identification of common abbreviations related to documentation
- reasons abbreviations related to documentation are used
- use of an approved list of abbreviations related to documentation
- errors commonly made when using abbreviations related to documentation.
Process/Skill Questions
- How are abbreviations related to documentation found?
- Why is caution important when using abbreviations related to documentation?
- What common errors are made when using abbreviations related to documentation?
- Why is the patient chart regarded as a legal document? What implications does this have?