Authoring Patient Records: An Interactive Guide presents both the theory and rationale for the process of developing medical records, as well as opportunities for readers to practice the new skill. Each chapter discusses how to use the authoring process to create effective records, using examples and sample documents to help illustrate potential problems and solutions. This text has an interactive format including margin notes to help the reader assess his/her understanding, as well as opportunities to practice the authoring process being discussed. An instructor’s manual for online use is also included. -- Publisher description.
Pagano, M. P. (2011). Authoring Patient Records: An Interactive Guide. Sudbury, MA: Jones & Bartlett Publishers.
Available at: http://works.bepress.com/michael_pagano/7/