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  2. Admission note - Wikipedia

    en.wikipedia.org/wiki/Admission_note

    Admission notes document the reasons why a patient is being admitted for inpatient care to a hospital or other facility, the patient's baseline status, and the initial instructions for that patient's care. Health care professionals use them to record a patient's baseline status and may write additional on-service notes, progress notes (SOAP ...

  3. Medical record - Wikipedia

    en.wikipedia.org/wiki/Medical_record

    Within the medical record, individual medical encounters are marked by discrete summations of a patient's medical history by a physician, nurse practitioner, or physician assistant and can take several forms. Hospital admission documentation (i.e., when a patient requires hospitalization) or consultation by a specialist often take an exhaustive ...

  4. Nursing documentation - Wikipedia

    en.wikipedia.org/wiki/Nursing_documentation

    Nursing documentation is the principal clinical information source to meet legal and professional requirements, care nurses' knowledge of nursing documentation, and is one of the most significant components in nursing care. Quality nursing documentation plays a vital role in the delivery of quality nursing care services through supporting ...

  5. Patient - Wikipedia

    en.wikipedia.org/wiki/Patient

    The admission to the hospital involves the production of an admission note. The leaving of the hospital is officially termed discharge, and involves a corresponding discharge note, and sometimes an assessment process to consider ongoing needs. In the English National Health Service this may take the form of "Discharge to Assess" - where the ...

  6. R. G. Kar Medical College and Hospital - Wikipedia

    en.wikipedia.org/wiki/R._G._Kar_Medical_College...

    R. G. Kar Medical College and Hospital (RGKMCH) is a public government teaching hospital in Kolkata, West Bengal, India [5] which started as Asia's first private medical college. [6][7] It was established in 1886 to ensure self-sufficiency in medical education and services in the colonial era. On May 12, 1958, the West Bengal Government assumed ...

  7. Hospital readmission - Wikipedia

    en.wikipedia.org/wiki/Hospital_Readmission

    A hospital readmission is an episode when a patient who had been discharged from a hospital is admitted again within a specified time interval. Readmission rates have increasingly been used as an outcome measure in health services research and as a quality benchmark for health systems. Generally, higher readmission rate indicates ...

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