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Documentation provides communication regarding the care of clients and acts as a formal legal document giving details of a client's management. Throughout the world it is accepted that if a procedure is not documented it is not done thus documentation should be complete and accurate.

Documentation is imperative for any organization or project, regardless of size or industry. It helps teams stay organized and on track by providing a clear understanding of project requirements, progress, and any potential risks.

The most important benefit of documentation in healthcare is that it can improve the quality of patient care. When doctors have the patient's complete medical history in front of them, they can make better decisions regarding diagnosis and treatment.

Principles for producing documentation Documentation should be easy to read and understand. If it's too long and too wordy, it may be misunderstood or ignored. Clear, concise words should be used, and sentences should be limited to a maximum of 15 words.

Each review starts out slow as everyone is learning the documents and the review guidelines. Allowing for 12 hour days at 45 documents per hour will enable the review to get started for 2 days while the rest of the data is being processed.

Although there are many explicit purposes for creating a scientific or technical document, there are four general categories: to provide information, to give instructions, to persuade the reader, and to enact (or prohibit) something.

So what are the main reasons for documenting? Communication: Client documentation is an effective method of sharing information amongst staff and other service providers. ... Assessment: ... Continuity of Care: ... Shared Knowledge: ... Legal Requirements: ... Continuous Quality Improvement: ... Funding: ... Physical Evidence:

Documentation is a great tool in protecting against lawsuits and complaints. Documentation help ensure consent and expectations. It helps to tell the narrative for decisions made, and how yourself or the client responded to different situations.