Literature DB >> 19486876

Medical malpractice matters: medical record M & Ms.

John M Lyons1, Jorge A Martinez, J Patrick O'Leary.   

Abstract

Accurate and thorough chart documentation is extremely important not only for patient continuity of care but also for medical legal risk reduction. It is common knowledge that a large percentage of court cases involving health care practitioners rely substantially on the chart documentation to determine outcomes. In this article, the authors have outlined particular court cases that illustrate the dramatic influence medical documentation has had in case law.

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Year:  2009        PMID: 19486876     DOI: 10.1016/j.jsurg.2008.12.002

Source DB:  PubMed          Journal:  J Surg Educ        ISSN: 1878-7452            Impact factor:   2.891


  5 in total

1.  No change in physician dictation patterns when visit notes are made available online for patients.

Authors:  Elizabeth A Kind; Jinnet B Fowles; Cheryl E Craft; Allan C Kind; Sara A Richter
Journal:  Mayo Clin Proc       Date:  2011-05       Impact factor: 7.616

2.  Nursing Attitudes and Practices in Code Documentation Employing a New Electronic Health Record.

Authors:  Kimberly Whalen; Pat Grella; Colleen Snydeman; Ann-Marie Dwyer; Phoebe Yager
Journal:  Appl Clin Inform       Date:  2021-06-23       Impact factor: 2.762

3.  The surgical admissions proforma: Does it make a difference?

Authors:  Jasmine Ehsanullah; Umar Ahmad; Kohmal Solanki; Justin Healy; Naim Kadoglou
Journal:  Ann Med Surg (Lond)       Date:  2015-02-07

4.  Real-time tablet-based resuscitation documentation by the team leader: evaluating documentation quality and clinical performance.

Authors:  T Grundgeiger; M Albert; D Reinhardt; O Happel; A Steinisch; T Wurmb
Journal:  Scand J Trauma Resusc Emerg Med       Date:  2016-04-16       Impact factor: 2.953

5.  Weekend handover: Improving patient safety during weekend services.

Authors:  Rajvi Nagrecha; Jaideep Singh Rait; Kim McNairn
Journal:  Ann Med Surg (Lond)       Date:  2020-06-09
  5 in total

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