Document Detail


Documentation & litigation.
MedLine Citation:
PMID:  19283943     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
What you see on "CSI" or "Law and order" may give you the idea that medical malpractice attorneys routinely use DNA, voice print analysis, and high-tech laboratory assays to prosecute or defend lawsuits. For the most part, this is not the case. With the exception of whatever witness testimony may be available, the only evidence in a malpractice case is the medical record. The patient's chart is used to demonstrate accreditation and regulatory compliance, and to make reimbursement determinations. It also is examined by licensing boards in deciding disciplinary action. For these reasons, it is imperative that nurses consistently use acceptable documentation practices.
Authors:
Edie Brous
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  RN     Volume:  72     ISSN:  0033-7021     ISO Abbreviation:  RN     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-03-16     Completed Date:  2009-05-07     Revised Date:  2009-06-24    
Medline Journal Info:
Nlm Unique ID:  20010080R     Medline TA:  RN     Country:  United States    
Other Details:
Languages:  eng     Pagination:  40-3     Citation Subset:  N    
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MeSH Terms
Descriptor/Qualifier:
Documentation*
Forms and Records Control*
Humans
Malpractice / legislation & jurisprudence*
Medical Records*
United States
Comments/Corrections
Comment In:
RN. 2009 May;72(5):8; author reply 8   [PMID:  19551954 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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