Implications Illegible Medical Records

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Can you Read This? Legibility and Hospital Records: A …

https://journals.sagepub.com/doi/abs/10.1258/cr.2012.011065

Poorly kept or illegible medical records may be detrimental to patient care while also leaving doctors vulnerable to litigation. Inconsistent data concerning legibility of physicians’ handwritten medical notes has been confounded by factors including the …

Legibility, accuracy, specificity vital in records

https://www.medicaleconomics.com/view/legibility-accuracy-specificity-vital-records

The increasing prevalence of electronic health records should help address the issue of illegible medical records in the future. Of course, the main purpose of the …

Incomplete and Delinquent Medical Records - Home …

https://medicine.uic.edu/wp-content/uploads/sites/6/2018/01/Incomplete-and-Delinquent-Medical-Records.pdf

to complete medical records is related to the physician's professional competence or conduct and adversely affects or could adversely affect a patient's health and …

Liability Issues Related to Illegible Physician Documentat.

https://assets.hcca-info.org/Portals/0/PDFs/Resources/library/Liability%20Illegible%20Physician%20Documentation.pdf

Security Disability claim based in part upon illegible medical record documentation. The court stated: “Plaintiff’s medical records do not indicate any objective medical …

Incomplete Medical Records - Consequences and Solutions

https://www.medicaltranscriptionservicecompany.com/blog/incomplete-medical-records-consequences-and-solutions/

Medical records help healthcare providers evaluate the patient’s profile, make accurate diagnosis, analyze treatment results, and plan treatment protocols. …

Failure to Record or Disregarding Patient History

https://www.standardsofcare.org/medical-malpractice/types/failure-record-disregarding-patient-history/

When physicians and medical staff do not record patient history or fail to take it into account when seeing a patient, the results can be disastrous. It happens all too …

Poor Quality Medical Records – Reasons …

https://www.mosmedicalrecordreview.com/blog/poor-quality-medical-records-reasons-and-solutions-to-address-them/

Illegible handwriting: When the handwriting is not clear, the names of drugs may be misread and cause patient harm if the wrong drugs are administered. Blank …

(PDF) Illegible handwriting in medical …

https://www.researchgate.net/publication/11052798_Illegible_handwriting_in_medical_records

Defects of legibility such that the whole was unclear were present in 18 (15%) of 117 reports, and were particularly frequent in records from surgical …

Can Inaccurate Record Keeping Result in …

https://www.thomaslawoffices.com/blog/medical-malpractice/can-inaccurate-record-keeping-result-in-medical-negligence/

Some of the most common mistakes seen on medical records include the following: Incorrect Symptoms. Whether a nurse or doctor records a patient’s symptoms …

Medical Record Alteration Carries Serious Consequences

https://www.mlmic.com/blog/hospitals/alteration-of-a-medical-record-carries-serious-consequences

Medical records which are undated, illegible, incomplete or clearly erroneous can be used by a plaintiff to cast doubt upon the quality of care the patient …

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