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Plan of care
An outline of how a patient will be treated
Shift change
When one group of workers, such as nurses or doctors, leaves work for the day and another group replaces them.
Medical record
A collection of a patient's medical history, including past and current medical conditions, medications, and other medical details.
Concise
If something is this way, it communicates an idea clearly without unnecessary of confusing language.
Legible
If something is this way, it is easy to read.
Document
To make a record or note of it.
Chronological order
The organization of information according to the order in time when events occurred.
Comprehensive
If something is this way, it is thorough or complete.
Assessment
The formation of an opinion or judgment about something.
Near miss
A situation in which an accident or crisis almost occurred but was avoided.
Status
The current state or condition of someone or something.