Why is it important to document patient interactions?

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Documenting patient interactions is crucial because it creates a legal record and assists in care coordination. A thorough and accurate documentation process provides a reliable account of the care provided, the patient's condition, and any changes or interactions that occur during their treatment. This legal record can be vital in cases of disputes or audits, ensuring accountability and protecting both the patient and the healthcare provider.

Moreover, proper documentation facilitates better communication among healthcare team members, ensuring that everyone involved in the patient's care is informed about their progress, treatment plans, and any potential issues. This coordinated effort is essential for providing high-quality care, as it helps to prevent misunderstandings or mistakes that could arise from poor communication or lack of information. The overall goal of patient-centered care is to ensure the best outcomes, and documentation plays a key role in achieving this.

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