These data elements are considered "general" to each patient's episode of care.ĭata elements that are general for every patient that fall into measures that are reported at time of discharge include: Regardless of which measure sets are selected by a hospital, certain general data elements must be collected by the hospital and submitted for every patient that falls into any of the selected Initial Patient Populations. This will ensure that the data are standardized and comparable across organizations. It is of primary importance that all health care organizations using The Joint Commission's National Quality Core Measures gather and utilize the data elements as defined in this section. This information is intended to assist in processing patient level data elements for The Joint Commission's National Quality Core Measures. It includes information necessary for defining and formatting the data elements, as well as the allowable values for each data element. This section of the manual describes the data elements required to calculate category assignments and measurements for The Joint Commission's National Quality Measures. Nursing Care Plans, Standing Orders and Protocols.Physician/Advanced Practice Nurse/ Physician Assistant Documentation.Interpretation of Data Dictionary Terms.Interpreting Data Element Definitions and Allowable Values.Hard copy or electronic copy-you won't go wrong with this Medical Desk Dictionary. The electronic dictionary has the same information and includes audible pronunciations, videos, graphs, and other supportive information. I purchased that also and have not been disappointed. This book is also available in electronic format. This book won't replace Dorland's or Stedman's but it definitely supplements those books very nicely. Many times the transcriptionist has to decide which form of a word to use. I find it to be better for the transcriptionists than Dorland's because it does give the parts of speech. When I saw how many words that it had in it that Dorland's did not, I bought this book (full price)for my medical transcription studies. I saw this book in Barnes & Noble and thumbed through it. Merriam-Webster's entries for norm/o- words include: I specifically bought this book because I have found many words dictated by doctors that were not in Dorland's but were in this book.įor example, the norm/o- combining form is not at all well documented in Dorland's. (I am not studying to be a doctor I am studying to become a medical transcriptionist!) Dorland's is great.but it does not tell you if the word is a noun or an adjective. I bought this book because my Dorland's (30th edition) needed to be supplemented. Good Medical Transcriptionist Reference Book! If you can get a copy of this for under $15-20, I think it is well worth the purchase as I said earlier, you will need it.eventually. I can't say that it has sped up the reading of the books in question, but at least I understand them better. Thus I have had the opportunity to test this particular dictionary in the field of battle, as it were while it has not listed every term I have looked up, it has held its own quite well. I was fortunate to get a very good price on the Merriam-Webster version in question, having finally been driven to it by undertaking the reading of a two-volume set of books on kidney disease (for the purpose of my job as a biomedical researcher: you see that even we Ph.D.'s need these reference texts). There are some standard texts (Stedman's comes to mind), but by and large these are just about as expensive as that yearly deductible on your health insurance. Nevertheless, the terminology is rife, and to begin to understand what is being said, anyone who is dealing with medical literature is virtually obligated to have some sort of medical dictionary. Whether there has developed a body of terms that is involved in some sort of secret initiation of medical personnel (so that they can talk out loud in front of the patient without the patient understanding), or whether the terminology evolved from vario us Greek and Latin terms over the centuries and is necessary to describe and classify various conditions or structures accurately, is up for debate. Sooner or later, whether one is looking up information on the web or actually (imagine!) reading a medical text or article, he/she will encounter a confabulation of terminology that is hardly to be believed.or understood. In general there are two classes of people: those who have (or are dealing with) medical problems, and those who will eventually have them or have to deal with them, as with elderly relatives. Like it or not, the scientific community, and in particular that portion of it which deals in medicine, has its own language. Trying to keep up with medical literature
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