Articles Tagged With: chart
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Three Common Missteps to Avoid with Med Mal Cases
Medical malpractice allegations can set off a cascade of obligations and possible pitfalls, and it can seem like there is too much to handle all at once. Paying attention to three potential missteps can ease some of the burden.
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Be Prepared to Secure All Types of Evidence After Adverse Events
An adverse event that could lead to litigation or investigations should prompt risk managers to implement a prepared process for securing the related evidence, which can take multiple forms. Properly obtaining and protecting the documents, devices, witness reports, digital data, and other evidence may determine the outcome of future litigation.
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Patients’ Easy Access to Records Means Complaints — and Chance to Avoid Litigation
Patients will no longer have to go through the discovery process during litigation to find out everything ED providers charted. Still, with patients reviewing all the clinical documentation, plenty of misunderstandings can happen.
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‘Copy and Paste’ Can Legally Compromise Entire ED Record
When information is copied and pasted into the ED chart, it can improve patient care because all providers are aware of the patient’s history — or it can legally compromise the entire medical record.
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Defensive Charting Can Lead to Unintended Consequences for Everyone
If EPs do not see the nursing notes, they will not be able to address statements claiming they did nothing to address a patient’s deteriorating condition.
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Ethics Consult Can Go Undocumented — to the Detriment of Ethics Department
Many problems can occur if ethics consults are documented sparsely or not at all. Lack of documentation hinders the ethics service from knowing how it is performing.