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This innovative text uses a simulation approach to give readers interested in healthcare documentation and medical transcription careers a working knowledge of medical reports common in both acute and chronic care settings. Readers have access to transcription of 107 patient medical reports, including 56 new reports exclusive to the Eighth Edition. This edition also features 20 new speech recognition technology/medical editing (SRT) reports, as well as information on electronic health records (EHRs), quality assurance (QA), and scribes to keep readers up-to-date on the latest advances in the field. Organized by body system, the text includes full-color anatomy and physiology illustrations to make medical terminology easier to master. In addition, the authors have included a review of proper formatting, grammar, and style in accordance with the AHDI's BOOK OF STYLE, and a master glossary list compiles key terms in one section for convenient study and quick reference.
- The authors have completely updated and enhanced content for the Eighth Edition, adding 56 new reports reflecting up-to-date medical procedures to help readers enter the profession with accurate knowledge of current industry practices.
- Highlights include two new acute care case studies, all-new chronic care quali-care reports, and a new section with 20 reports covering speech recognition technology/medical editing.
- All acute care case studies now include critical thinking exercises to help stimulate discussion and help readers better understand and engage with the material.
- New information added to the Eighth Edition includes telephone notes (quali-care report 25a, b, c, d), as well as a pulmonary function tests/arterial blood gases document added to acute care case study 3.
- Audio dictation information is provided for all 107 reports—including accents, speed, background noise, difficulty level, and length of file—making it easy to customize a syllabus for any level of beginning student.
- Based on the AHDI BOOK OF STYLE, a new review of formatting, grammar, and style prepares readers to create documents aligned to current industry standards. In addition, a master glossary list now compiles key terms in one comprehensive section, providing a useful, convenient resource for classroom preparation, student review, and professional reference.
- Coverage spans a wide range of key reports commonly used in acute and chronic care settings, including history and physical examinations; consults; operative, pathology, and radiology reports; SOAP and HPIP notes; death and discharge summaries; correspondence; and telephone notes.
- An innovative simulation approach helps immerse readers in the material and provide a practical, working knowledge of common acute and chronic care medical reports to prepare readers for career success in the field of healthcare documentation and medical transcription.
- A flexible structure and wide range of material make it easy to customize courses, lesson plans, and exams. Instruction can begin at any point in the text—focusing on acute care, chronic care, or a mix of reports—and audio dictation information allows for ready customization based on varying levels of student need.
New to this Edition—Featured Items.
Audio Transcription Exercises.
About the Author.
Supplements at a Glance.
2. Model Report Forms.
4. Case Studies.
Case Study 1: Reproductive System.
Case Study 2: Gastrointestinal System.
Case Study 3: Cardiopulmonary System.
Case Study 4: Pediatric Orthopedics/Neurology Systems.
Case Study 5: Psychology/Neurology System.
Case Study 6: Reproductive System/Mammary Glands.
Case Study 7: Orthopedics/Endocrine Systems.
Case Study 8: Vascular/Renal Systems.
Case Study 9: Orthopedics.
Case Study 10: Respiratory System.
5. Quali-Care Clinic.
6. Speech Recognition Editing.
Challenging Medical Words/Phrases/Prefixes.
Sample Patient History Form.
The Lund-Browder Chart.
Laboratory Test Information.
Sample Forms for Ordering Laboratory Tests, Scheduling Radiology Tests, and Consults for Physical Therapy, Sleep Studies, etc.
Building a Reference Library.
Official “Do Not Use” List from The Joint Commission.
Cengage provides a range of supplements that are updated in coordination with the main title selection. For more information about these supplements, contact your Learning Consultant.
Instructor's Companion Web Site
Everything you need for your course in one place! This collection of product-specific lecture and class tools is available online via the instructor resource center at www.cengage.com/login. You'll be able to access and download materials such as Microsoft® PowerPoint® presentations, instructor’s manual, videos, and more.
Audio, 2 terms (12 months) Instant Access
Audio Study Tools give today’s busy students a quick, convenient way to master key concepts and prepare for exams. These audio files can also be downloaded from the web to any MP3 player.
Audio, 2 terms (12 months) Instant Access
Whatever you’re doing, wherever you are, you can review course materials and prepare for exams with Cengage Learning Audio Study Tools.