A clinical record review, often known as a chart review, is the examination of pre-recorded data in order to resolve clinical questions. It can be utilised to quickly and cost-effectively address specific clinical problems. These investigations, however, may be hampered by the little data available and the insufficiency of record-keeping.

Chart review can take many forms, but it usually involves examining medical requirements or approvals and giving suggestions. This can include but is not limited to, medications, treatments, duration of stay, physical therapy, procedures, and ancillary services. Although you can also utilise it for a chart review of your personal health as well.

What is a chart reviewer?

You evaluate medical records and patient charts as a chart reviewer and provide suggestions on medications, medical procedures, therapies, and other treatment regimens.

Only those with legal access to the charts are permitted to perform audits. Written authorization from the institution storing the data, as well as IRB permission from an external source, may be required based on the conditions.

What is a chart audit?

A chart audit is a simple technique that doctors can employ to assess their personal productivity, see how they’re doing, and discover aspects in which they can progress.

Tips for writing chart review

  • Make sure to provide information on the study’s participants. Is the diagnosis uncommon? Have you been seen by one or several providers? Is there a certain location or time when patients can be identified and consented to treatment?
  • Specify the quantity of people who will be attending. Could you perhaps approach and consent those individuals if the number is small?
  • What kinds of information, documents, and samples are you gathering? Are they currently in place at the moment of the IRB filing (thus making it entirely retrospective)? Or will they be gathered as a course of ordinary clinical care (Retro) or WILL they (Prospective)?
  • Will the data for prospective data collecting not be accessible till once the individuals have been examined and sent home? If you answered yes, the “not practicable” criteria are constantly faced, except if the people involved are exceptionally tiny.
  • Is your study meant to examine morbidity/outcomes, and does not obtaining accessibility to all of the information would have an impact on statistical results? This might help with a Waiver of Consent proposal.
  • When doing retrospective reviews, use particular dates, especially the end dates.
  • Use end dates if possible, especially in prospective data gathering projects (Jan. 2001-Jan. 2022).
  • Calculate the number of topics you plan to study in. If you want to add more charts, you must first file a Protocol Modification before examining the charts, so dream big.

How much does a chart review cost?

You’ll be charged extra if it’s tied to a certain speciality group with specific knowledge. The cost is based upon the amount of time it takes you to complete the task as well as the size of the chart. The typical hourly rate is between $100 and $150.

You can, however, reduce your cost to zero by using the chart review templates in this post. The time or money you would have spent creating a chart review template could have been better spent on something else.

15 Chart Review Templates that You can Download

To help you save time and money, we’ve put up a collection of 15 chart review templates that you can use on any device at any time. It covers any form of chart review you would need. You may also download them in any format you choose, including JPG, PNG, PSD, and AI, and they’re all free.

Example Template #1

Download  Chart Review Example Template #1  in JPG, PNG, PSD, and AI Format below:

This is a clinic chart review where you can enter patient information. This template can be used to write all of the necessary information for a patient. The bright colours give it a professional appearance. It is recommended for data entry in hospitals and clinics.

Example Template #2

Download  Chart Review Example Template #2  in JPG, PNG, PSD, and AI Format below:

If you’re looking for a nursing review chart, this is the template for you. It provides you with many variables such as order, progress notes, and prescriptions. There are also alternatives to circle for yes or no or N/A. This design is ideal if you want to get the most out of your time.

Example Template #3

Download  Chart Review Example Template #3  in JPG, PNG, PSD, and AI Format below:

This chart review template is a PEF chart review that includes all history, exam, assessment, and plan aspects. It is an excellent option for medical documents. You can easily download the photos above and use them for your work.

Example Template #4

Download  Chart Review Example Template #4  in JPG, PNG, PSD, and AI Format below:

Another review chart template with yes/no options for you. You may also leave comments in this template’s comment box. Having such a handy template is quite beneficial to hospitals and clinics. It is easily located in the above image and can be downloaded for free.

Example Template #5

Download  Chart Review Example Template #5  in JPG, PNG, PSD, and AI Format below:

Another template is here, but this time it’s about patient observation. Keeping a record of their patients and attentively observing them can be quite beneficial to doctors. In all circumstances, this template is handy. All guidelines and related information are included in the templates, which you may download and use to keep track of your patients.

Example Template #6

Download  Chart Review Example Template #6  in JPG, PNG, PSD, and AI Format below:

Doctors use this patient review chart template to record everything about the patient, including general information, final diagnosis, original diagnosis, diagnostic specialist, as well as any tests that the doctor has ordered. It is extremely beneficial to hospitals and clinics. It has a nice layout and will aid in the organisation of patient records.

Example Template #7

Download  Chart Review Example Template #7  in JPG, PNG, PSD, and AI Format below:

A dental chart review is required to retain all dental records in one place. Because there are so many variables to document while dealing with a dental patient, it’s difficult for a doctor to keep track of everything. The evaluation of dental charts might assist doctors in keeping track of their patients. This sample is for dogs, and it can assist veterinarians to keep track of a dog’s dental needs.

Example Template #8

Download  Chart Review Example Template #8  in JPG, PNG, PSD, and AI Format below:

This is another patient chart review in which you can enter all of the patient’s information. It keeps track of all the information about the patient’s previous drugs, procedures, and allergies. It’s a great place for doctors, hospitals, and clinics to keep track of their data.

Example Template #9

Download  Chart Review Example Template #9  in JPG, PNG, PSD, and AI Format below:

This medication chart review form is incredibly handy for keeping track of your patients’ meds. Doctors can check off attributes based on the patient’s performance, and if there is any improvement, it will aid in the analysis. This template is ideal for hospitals and clinics.

Example Template #10

Download  Chart Review Example Template #10  in JPG, PNG, PSD, and AI Format below:

This template allows you to keep track of the audits of your chart reviews. This is a good one for hospitals and clinics to use to keep track of their data. It is well-formatted and has a highly professional appearance.

Example Template #11

Download  Chart Review Example Template #11  in JPG, PNG, PSD, and AI Format below:

This is another chart review template of a patient’s medical records. It contains all information on a patient. Also, doctors, hospitals, and clinics can utilise it to keep track of their patients. You can easily download it by clicking on the image above.

Example Template #12

Download  Chart Review Example Template #12.1  in JPG, PNG, PSD, and AI Format below:

Download  Chart Review Example Template #12  in JPG, PNG, PSD, and AI Format below:

This is an unplanned transfer chart review template. It is a very useful template for any organisation because it provides numerous attributes connected to unforeseen transfers. You may easily get it from the image provided above.

Example Template #13

Source

Download  Chart Review Example Template #13 in JPG, PNG, PSD, and AI Format below:

This is a review of a clinic chart where you can input patient records. This template can be used to jot down all of a patient’s pertinent information. It has a professional image because of the blue colour. It is suggested for use in hospitals and clinics for data entry.

Example Template #14

Source

Download  Chart Review Example Template #14  in JPG, PNG, PSD, and AI Format below:

This medication chart review form comes in helpful when it comes to keeping track of your patients’ prescriptions. Doctors can mark off attributes based on a patient’s ability, and if the patient’s performance improves, it will help with the assessment. It is a great template for hospitals and clinics.

Example Template #15

Source

Download  Chart Review Example Template #15  in JPG, PNG, PSD, and AI Format below:

This template is useful for keeping track of your personal health. With this chart review, you may quickly review your health on your own. Simply fill in the template correctly every day to keep track of your health. This is a simple procedure that can be completed at home without the assistance of a physician.

That concludes the 15 chart review templates available for download. These images are available for free, and you may use them in your work as you see fit. These photos are available in a variety of formats, including JPG, PNG, PSD, and AI.

Conclusion

The process of chart review can take numerous forms, but it usually entails looking at medical criteria or permissions and providing advice. There are many different types and sizes of review charts, and we’ve tried to gather a list of the most frequent ones for your convenience. For medical records, chart review templates are extremely useful. 

Rather than opening your computer or laptop and using MS Word or Excel to make a chart review template. You can just download one of the review chart templates listed above and do your task quickly. It is available in all media, is free, and takes little time to complete.