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The purpose of control is to assign blame.
Discharge Summary
A comprehensive document detailing a patient's hospital stay and treatment, intended to aid in post-hospital care and recovery.
Kardex Form
A record-keeping system used in healthcare settings to provide easy access to important patient information, including medication schedules and medical history.
SOAP Notes
A method of documentation employed by healthcare providers to write out notes in a patient's chart, consisting of four sections: Subjective, Objective, Assessment, and Plan.
PIE Charting
A method of documentation in nursing that focuses on Problems, Interventions, and Evaluation of patient care.
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