Why Proper Medical Records Are Necessary For Head Injuries

Why Proper Medical Records Are Necessary For Head Injuries Proper medical records are important when it comes to providing appropriate care and ensuring patient safety. Doctors typically prefer outsourcing medical transcription ensures accurate and timely medical documentation.

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Accurate and reliable medical documentation promotes better medical care and patient safety. Recording all relevant information of medical services provided to a patient helps practitioners monitor what’s been done and co-ordinate care. Keen attention even to minor details reduces the chances of patients returning to the hospitals. Doctors typically prefer outsourcing medical transcription to established medical transcription companies to ensure accurate and timely medical documentation.

Proper medical documentation is important for head injuries. Head injuries are common injuries in car accidents. These injuries may be either closed or open. It can be hard to assess how serious a head injury is just by looking at it, especially if it’s a closed head injury. So, detailed evaluation and medical documentation helps in providing the treatment as per the current academic or medical standards.

Head injuries should not be taken lightly. There are many types of head injuries like hematoma, hemorrhage, concussion, skull fracture, edema, diffuse axonal injury. A minor head injury may have symptoms such as headache, a spinning sensation, nausea, or temporary ringing in the ears but major head injuries may have severe symptoms like seizures, balance or coordination problems, abnormal eye movements, changes in mood, or leaking of clear fluid from ear or nose.

To provide quality patient care and treatment, a healthcare provider should examine and identify the type of head injury. Error-free medical documentation helps specialized doctors to proceed with the treatment on the basis of clinical findings and understand the patient’s physiology.

Head Injuries May Lead to Alzheimer’s in Later Life Recently, injuries related to contact sports have increased the concern that these events could lead to deterioration of brain health in the course of time. As per the 2016 National Health Statistics Report, from 2011 to 2014, Americans aged 5 years and over sustained an average of 8.6 million sports and recreation related injury episodes per year.

A study from the University of Texas South-western in Dallas shows that these head injuries lead to traumatic brain injury (TBI) with the onset of Alzheimer’s disease. Dr Munro Cullum, the neuropsychologist who was in charge of the research and his colleagues drew their conclusions by looking at cases of Alzheimer’s that had been confirmed post-mortem.

The findings of the study were published in the journal

Neuropsychology.

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Though an association was established between TBI and Alzheimer’s, the research does not advise parents to keep their children away from contact sports like football and other games.

Dr Cullum and his team analyzed data sourced from 2133 subjects whose diagnosis of Alzheimer’s disease was confirmed post mortem. People who experienced a TBI accompanied by loss of consciousness for more than 5 minutes were overall diagnosed with Alzheimer’s earlier than their peers who had not sustained such traumatic head injuries.

The researchers explain that the current study is set apart from previous, similar investigation by the fact that it identified high degrees of association between dementia and history of brain injury. The study authors pointed out that their findings give rise to new questions like: •

What mechanism is at fault when TBI contributes to the onset of dementia?

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Who is at most risk?

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Do other factors influence the early onset and if so, then which?

These types of medical conditions require accurate medical history. Dr, Cullum said that medical records often do not include full history of TBI, so it makes it difficult to draw any conclusion based on existing data. Scientists have already taken the first step to try to remedy this problem and they are actively involved in further studies that aim at clarifying the links between head injuries and brain disorders.

Studies such as the above highlight the value of accurate and complete medical records.

Physicians are often overworked and they would benefit from reliable medical documentation support. A medical transcription services company can help in this regard with professional transcription support. Accurate and real-time medical transcription enables creating error-free medical documentation which ensures the following benefits: •

Assures continuity of care as it serves as a communication tool among healthcare providers

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Plan and evaluate a patient’s treatment

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Create a permanent record for the patient’s future care

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Facilitate research

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Substantiate billing

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Create a database to evaluate effectiveness of treatment

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Useful for justifying or defending care provided.

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Healthcare organizations around the world now greatly depend on medical transcription service for accurate medical documentation. Outsourcing to a reliable service provider improves clinical workflow and increases the efficiency of healthcare providers.

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918-221-7809