Posts about
Safer Patient Care (2)
CDI: Documenting Diagnoses and Patient Safety
July 29, 2022
Documenting a diagnosis in the health record extends beyond its impact on reimbursement and quality-of-care measures. It is also critical to patient..
What does clinical engagement look like in practice?
July 19, 2022
The term of clinical engagement came to me very early in my safety and quality (S&Q) endeavour, my very first S&Q role almost 11 years ago. Two..
Our New Healthcare Heroes: The Next Generation of Clinical Documenters
February 11, 2022
It’s a frenetic time in Australian hospitals. After two years of COVID-19 suppression strategies, our borders, our country, and our lives, have..
I'm a CDS, Now What? - Transitioning into the CDS Role
October 25, 2021
Experienced Clinical Documentation Nurse Consultant Samantha Ryan reflects on the leap from clinical nurse to CDS.
Ignaz Semmelweis – An Unappreciated Visionary
September 29, 2021
To grow into the future, we can start by looking at the past. It’s an exciting time in medicine. Treatments and diagnostics that we could only dream..
CDS - Scope Creep
June 17, 2021
Are people in your hospital asking you to work beyond the scope of your clinical documentation specialist (CDS) role? You may be experiencing scope..
Junior doctors: paperwork lackeys or key allies for CDI? Part 2
June 4, 2021
Junior doctors occupy a unique and sometimes strange position within the hospital. We are doctors. We’re called when people are sick and..
Junior doctors: paperwork lackeys or key allies for CDI?
May 20, 2021
It’s 6:30am on the general surgical ward. Three residents are preparing for the round. We’re looking up results, printing lists, and creating ward..
CDI is a journey, not an event
May 3, 2021
If you think your hospital has “done” clinical documentation improvement (CDI), it may be time to think again. Improving your clinical documentation..
The science behind clinical documentation improvement (CDI)
February 23, 2021
Discover why clinical documentation improvement is a behavioural change process that requires a scientific approach. If you’re thinking about..
Establishing a CDI steering committee
January 7, 2021
Discover why a steering committee is a vital piece in your approach towards clinical documentation improvement. What is a steering committee? A..