What are the 3 rules of documentation?
Asked by: Kevin DuBuque | Last update: September 4, 2025Score: 4.6/5 (24 votes)
- Immediate. Managers should take notes right after an incident occurs. ...
- Accurate and believable. When an outside observer (judge, jury or EEO investigator) is called to judge your side of the story, detailed observations add authenticity. ...
- Agreed upon.
What are the 3 C's of documentation?
The 3 C's of Process Documentation (Consistency, Compliance, Completeness) And Why You Should Care.
What is the golden rule of documentation?
Remember the Golden Rule: If it isn't documented, then it wasn't performed. Reviewers do not know the services provided if there is no documentation. You are paid for what you document, not what you did.
What are the 3 types of documentation?
There are three types of documentation that every software development team needs in order to function effectively and avoid future roadblocks — documentation of ongoing discussions, the decision-making process, and technical information.
What are the three elements of good documentation?
Instead of focusing on the mechanics of the customer information experience, a focus on the information experience itself enables us to discern three key elements for quality documentation: discoverability, readability, and usability.
HR Basics: Discipline Documentation
What are the 3 main documents?
- Declaration of Independence.
- Constitution of the United States.
- Bill of Rights.
What are the three key elements of a documented requirement?
- executive summary of the project.
- factors, risks, and assumptions that may affect the project.
- functional and non-functional requirements.
- supporting documents or references.
What are the 4 pillars of documentation?
The Documentation System
They are: tutorials, how-to guides, technical reference and explanation. They represent four different purposes or functions, and require four different approaches to their creation. Understanding the implications of this will help improve most documentation - often immensely.
What are the three methods of documentation?
Decisions about which method to use may depend on the organization where you work, which sometimes specify certain methods. Otherwise, it is usually a matter of personal preference. In this section, three main documentation methods are presented: charting by exception, narrative, and nursing process.
What are the three most important documents?
Learn about the United States' founding documents, known together as the Charters of Freedom. The Declaration of Independence, U.S. Constitution, and Bill of Rights established the government's structure and continue to secure the rights of American citizens.
What is the basic rule of documentation?
The most important rule of good documentation is for it to be as inviting as possible. This means that we should aim to write it in the clearest terms possible without skipping over any steps. We should avoid making assumptions about what our users may know.
What is good documentation guideline?
- Attributable. Study documentation should identify who recorded the data/information; the information should be traceable to a person, date and time (as appropriate).
- Legible. ...
- Contemporaneous. ...
- Original. ...
- Accurate. ...
- Complete.
What are the three essential elements to the documentation process?
When you look at this website and the words used to describe the process of documentation, the word “DISPLAY” is not used. As shown in the diagram below, there are three essential elements to the documentation process– OBSERVE, DOCUMENT and INTERPRET(ATION).
What are the three documentation styles?
The three major documentation styles are MLA (Modern Language Association), APA (American Psychological Association), and CMoS (Chicago Manual of Style, often called simply “Chicago,” “CMoS,” or “Turabian”) style, but there are others.
What is the 3C principle?
This method has you focusing your analysis on the 3C's or strategic triangle: the customers, the competitors and the corporation. By analyzing these three elements, you will be able to find the key success factor (KSF) and create a viable marketing strategy.
What are the three levels of documentation?
- Overview.
- Levels of Documentation. Overview. Organisational Context Model [Level 0] Process Map [Level 1] Process Modelling [Level 2] Overview. Task Analysis [Level 3]
What are the three key documents?
The Declaration of Independence, the Constitution and the Bill of Rights are remarkable documents.
What are the guidelines in documentation?
- Description of criteria for specific diagnosis.
- Evaluation methods.
- Procedures.
- Tests.
- Dates of administration.
- Observations.
- Specific results.
- Clinical narrative.
What are the 5 ANA documentation principles?
If patient documentation is not timely, accurate, accessible, complete, legible, readable, and standardized, it will interfere with the ability of those who were not involved in and are not familiar with the patient's care to use the documentation.
What is the most important principle of documentation?
2. Clarity and completeness. Documentation should be clear (unambiguous and not confusing), understandable, and complete. Use plain language, provide context, and include all relevant details.
What are the quadrants of documentation?
- learning-oriented tutorials.
- goal-oriented how-to guides.
- understanding-oriented discussions.
- information-oriented reference material.
What are the documentation standards?
Documentation standards ensure consistency in writing, style, and layout. Uniform documentation makes it easier for users to navigate across different products and systems created by the same team. A consistent approach to documentation will make it easier and quicker for users to find relevant information.
What are the three C's of accurate documentation?
As NCQA says, “Consistent, current, and complete documentation in the medical record is an essential component of quality patient care.” Let's take a closer look at each of these key elements and how they can help you build a foundation for better documentation.
What are the three types of requirements?
- Known Requirements. First are the known requirements. ...
- Overlooked Requirements. ...
- Emergent Requirements.
What are the three basic parts of a written document?
Sections of a text can be many, but a document should always aspire to have the following three parts, in some form or another: an introduction, a body and a conclusion.