The Importance of Medical Documentation

The importance of medical documentation
One of the best defenses if you’re faced with a malpractice suit is comprehensive, professional and accurate patient records. In Implications of Altered Medical Records we discussed why it is so important that patients’ records be kept with integrity. Now we’ll look at what goes into proper documentation. The National Committee for Quality Assurance (NCQA)
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How Medical Students Can Learn and Apply Patient Safety

Patient safety education for medical students
You may be surprised to learn that patient safety is not a significant focus in undergraduate medical school curricula. The research study “Patient safety education for undergraduate medical students: a systematic review” found that patient safety content ranges from only 4 to 30 hours across various medical schools. The study also found that no patient
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Implications of Altered Medical Records

Altered medical records are never acceptable
Complete, detailed and accurate medical documentation is not only essential for patient care but also for defense in the event of a malpractice lawsuit. Every addition to patient records should be marked with the date and time that corresponds to the medical consultation or treatment being described. Any corrections should have their own date and
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Wound Care & Potential Liabilities

Wound care potential liabilities
The need for care of chronic wounds, whether pressure ulcers, diabetic ulcers or other non-healing wounds, is becoming more prevalent as the population ages. As with any aspect of patient care, wound care has specific liabilities for health care professionals associated with it. Best practices for care One vital aspect of wound care is to follow
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