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Emory University Hospital Chart Audit Form
This chart audit form from Emory University Hospital courtesy of Jason Stein, MD, is in paper based format and can be used for all inpatients. This form is used for data entry and VTE audit assessment. Personnel fills this out while looking at a chart (active patient on floor or discharged patient with a chart in medical records); use of digits makes this a ‘self-coding’ form capable of being scanned into a database; the last item is key but other information on the form is often useful.
View the Emory University Hospital Chart Audit Form
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