Full Description
This innovative text uses a simulation approach to give readers interested in healthcare documentation and medical transcription careers a working knowledge of medical reports common in both acute and chronic care settings. Readers have access to transcription of 107 patient medical reports, including 56 new reports exclusive to the Eighth Edition. This edition also features 20 new speech recognition technology/medical editing (SRT) reports, as well as information on electronic health records (EHRs), quality assurance (QA), and scribes to keep readers up-to-date on the latest advances in the field. Organized by body system, the text includes full-color anatomy and physiology illustrations to make medical terminology easier to master. In addition, the authors have included a review of proper formatting, grammar, and style in accordance with the AHDI's BOOK OF STYLE, and a master glossary list compiles key terms in one section for convenient study and quick reference.
Contents
Preface.
New to this Edition—Featured Items.
Prerequisites.
Course Description.
Teaching Environment.
Objectives.
Student Text-Workbook.
Audio Transcription Exercises.
Supplements.
Acknowledgments.
About the Author.
Supplements at a Glance.
1. Introduction.
2. Model Report Forms.
3. References.
4. Case Studies.
Case Study 1: Reproductive System.
Case Study 2: Gastrointestinal System.
Case Study 3: Cardiopulmonary System.
Case Study 4: Pediatric Orthopedics/Neurology Systems.
Case Study 5: Psychology/Neurology System.
Case Study 6: Reproductive System/Mammary Glands.
Case Study 7: Orthopedics/Endocrine Systems.
Case Study 8: Vascular/Renal Systems.
Case Study 9: Orthopedics.
Case Study 10: Respiratory System.
5. Quali-Care Clinic.
6. Speech Recognition Editing.
Appendix.
Proofreader's Marks.
Challenging Medical Words/Phrases/Prefixes.
Sample Patient History Form.
The Lund-Browder Chart.
Laboratory Test Information.
Sample Forms for Ordering Laboratory Tests, Scheduling Radiology Tests, and Consults for Physical Therapy, Sleep Studies, etc.
Building a Reference Library.
Official "Do Not Use" List from The Joint Commission.
Bibliography.
Index.
