A risk manager needs to locate a full report of a patient's fall from his bed, including witness
reports and probable reasons for the fall. She would most likely find this information in the
A. doctors' progress notes. C. incident report.
B. integrated progress notes. D. nurses' notes.
C Factual summaries investigating unexpected facility events should not be treated as part of
the patient's health information and therefore would not be recorded in the health record.
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___________ means the condition excluded is not part of the condition represented by the code, but may be reported together if documented
A) Excludes1 B) Excludes2 C) Includes notes D) NEC
Anything that interferes with ventilation to a lung or anything that interferes with distribution of blood through the pulmonary circulation result in what is called:
A) ventilation-respiration (VP) mismatch. B) ventilation-alveolar (VA) mismatch. C) ventilation-oxygenation (VO) mismatch. D) ventilation-perfusion (VQ) mismatch.