Clinical Documentation Improvement Australia

In Australian hospitals, it is far too common to find medical records missing documentation of the reason for admission, relevant major diagnoses, or the indications for treatments, investigations or procedures. This missing information is a major patient safety concern and can contribute to breakdowns in communication between clinicians, medication errors, and preventable patient harm. To make matters worse, this often incomplete documentation forms the basis for healthcare funding leading to stressed and under-resourced hospitals. Whats more, much of the data that leaders and policy makers rely on to make key decisions about the health of all Australians comes directly from clinical documentation. If youre concerned about the quality of your clinical documentation, were here to help. At Clinical Documentation Improvement Australia (CDIA), well partner with you to transform your clinical documentation culture so you can deliver safer patient care. Founded by clinicians, we ...