Legal Medical Documentation Dilemma

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Proper medical charting is critical to protecting against legal risk

https://www.physicianspractice.com/view/proper-medical-charting-is-critical-to-protecting-against-legal-risk

Proper medical charting is critical to protecting against legal risk. August 19, 2021. Ryan Rivas, JD. While helpful, the increase in electronic patient information creates more opportunity for errors, omissions, or mistakes that can ultimately lead to an …

Overview of Legal and Ethical Issues in Health Care

https://www.merckmanuals.com/home/fundamentals/legal-and-ethical-issues/overview-of-legal-and-ethical-issues-in-health-care

Legal capacity (competency): The right and ability to manage one’s own affairs (bestowed at age 18 in most states). Legal incapacity (incompetency): The inability …

Medical Record Documentation and Legal Aspects

https://www.rn.org/courses/coursematerial-215.pdf

The purpose of this course is to outline accuracy and legal requirements for nursing documentation, including a review of different formats for documentation. Goals …

Clinical documentation | How to document …

https://onthewards.org/how-to-document-well/

Medical documentation is a document of service that has huge implications for hospital funding. …

Nurse documentation contributes to lawsuit dismissal

https://www.nurse.com/blog/nurse-documentation-contributes-to-lawsuit-dismissal/

The 2018 lawsuit Schaetzel vs Mercy Health Services-Iowa illustrates how documentation and professional conduct can be key factors in litigation. In the case, …

Documentation in medicine and Legal …

https://www.slideshare.net/doctorrao/documentation-in-medicine-and-legal-challenges

MEDICAL DOCUMENTATION & LEGAL CHALLENGES Dr.T.V.Rao.MD 5/29/2013 Dr.T.V.Rao MD @ health care 1. 2. Medical Law is Part of Medical Practice • …

Legal Issues in Nurse Documentation | Legal Beagle

https://legalbeagle.com/8245142-legal-issues-nurse-documentation.html

Nursing documentation frequently reflects the most crucial parts of the medical record. If it is meticulous, appropriate and truthful, it supports quality medical care. It can also …

Improper Medical Documentation and …

https://schwanerinjury.com/medical-documentation-error-lawsuit/

There are a wide range of troublesome issues associated with electronic health records. These are the top causes of electronic health records errors leading to …

Poor Documentation: Why It Happens and How to Fix It

https://www.fortherecordmag.com/archives/0516p12.shtml

May 2016. Poor Documentation: Why It Happens and How to Fix It. By Juliann Schaeffer. For The Record. Vol. 28 No. 5 P. 12. The suspects and solutions are as diverse as the …

20 Most-Common Examples of Ethical Dilemmas in Nursing

https://www.nursingprocess.org/ethical-dilemma-in-nursing-examples.html

Ethical dilemmas come in various forms and for several reasons. The following are five main reasons why nurses face ethical dilemmas in nursing. 1. Patients or their loved …

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