CLINICAL DOCUMENTATION VS MEDICAL TRANSCRIPTION: KEY DIFFERENCES EXPLAINED

While both clinical documentation and medical transcription involve recording healthcare interactions, they serve different purposes. Medical transcription is about converting dictated notes into written form, whereas clinical documentation covers a broader, structured view including SOAP notes, ICD-10 codes, and EHR updates. Understanding the nuan

Medical errors often trace back to incomplet or unclear clinical documentation. Detailed, consistent notes help healthcare providers communicate better, track patient histories accurately, and avoid mistakes. Investing time and resources into improving clinical documentation can dramatically reduce patient risks and improve healthcare outcomes.