【英文标准名称】:StandardGuideforDataCapturethroughtheDictationProcess
【原文标准名称】:口述过程中数据收集的标准指南
【标准号】:ASTME2344-2004
【标准状态】:现行
【国别】:
【发布日期】:2004
【实施或试行日期】:
【发布单位】:美国材料与试验协会(US-ASTM)
【起草单位】:E31.15
【标准类型】:(Guide)
【标准水平】:()
【中文主题词】:口述;数据;口述记录规则
【英文主题词】:analog;blanks;confidential;dictate;dictatingauthor;dictation;digital;healthcaredocumentation;medicaltranscription;qualityassurance;riskmanagement;speechrecognition;turnaroundtime(TAT);voiceactivation
【摘要】:1.1Thisguideidentifieswaystoimprovethequalityofhealthcaredocumentationthroughthedictationprocess.Thisguidewillassistdictatingauthors(physicians,physicianassistants,nurses,therapists,andotherhealthcareprofessionals)infacilitatingtheiruseofdictationinthehealthcareenvironment,thatis,hospital,clinic,physicianpractice,ormulti-campushealthcaresystem.1.2Thisguidewillaidinthecontinuityofpatientcare,privacyandconfidentialityissues,riskmanagementissues,optimalcodingforreimbursement,compliancewithlegislativeandregulatoryrequirements,andturnaroundtime.1.3Thecomplexityofthelanguageofmedicine,thedynamicsofthehealthcareenvironment,andthesophisticationofthedictationsystemspresentaformidablechallengefordictatingauthors.Thisguidewillfacilitateaqualitydictationmessage.1.4Thisguidedoesnotaddressthemedicaltranscriptionprocess.1.5Thisstandarddoesnotpurporttoaddressallofthesafetyconcerns,ifany,associatedwithitsuse.Itistheresponsibilityoftheuserofthisstandardtoestablishappropriatesafetyandhealthpracticesanddeterminetheapplicabilityofregulatoryrequirementspriortouse.
【中国标准分类号】:C05
【国际标准分类号】:11_020
【页数】:4P.;A4
【正文语种】: