Clinical Documentation Improvement- a nursing role?

This article was first published in the Australian Nursing & Midwifery Journal (ANMJ) Jul-Sep Volume 28, No. 1 and has reproduced with consent.

If I was told 20 years ago that my future nursing role would be reading inpatient notes to look for missing diagnosis of comorbidities and complications that clinicians were actively treating I would have sad no way!

I would have been...

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