For trauma mortalities, a complete autopsy report is essential for fully documenting the patient’s injuries. However, if registrars hold mortality charts open until they receive the autopsy report, the 60-day concurrency target will never be met. Recommendation When abstracting a mortality, fill in as many fields as possible and then mark the chart complete. When…
Author: Trauma Registry and Data Management Special Report
There is no single best way to abstract a trauma patient chart. Every trauma registrar will need to find an approach that works for them and fits with their facility’s electronic health record (EHR). To help you develop a work style suited to you and your resources, here are several proven strategies: Working by screen…