Clinical documentation integrity: Its role in health data integrity, patient safety and quality outcomes and its impact on clinical coding and health information management

Jenny Davis; Jennie Shepheard

doi:10.1177/18333583231218029

Clinical documentation integrity: Its role in health data integrity, patient safety and quality outcomes and its impact on clinical coding and health information management

Health Inf Manag. 2024 May;53(2):53-60. doi: 10.1177/18333583231218029. Epub 2023 Dec 11.

Authors

Jenny Davis¹, Jennie Shepheard²

Affiliations

¹ La Trobe University, Australia.
² Shepheard Health Management Consultants, Australia.

PMID: 38073462
DOI: 10.1177/18333583231218029

No abstract available

Keywords: CDIS; EHR; clinical coding; clinical documentation; clinical documentation improvement specialist; clinical research; digital health; documentation; electronic health record; health information management; health information management profession; health information technology; patient safety; quality outcomes.

Publication types

Editorial

MeSH terms

Clinical Coding* / standards
Documentation* / standards
Health Information Management*
Humans
Patient Safety*
Quality of Health Care