Medical malpractice matters: medical record M & Ms.
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.
Lyons
John M
JM
Department of Surgery, Louisiana State University, Health Sciences Center, New Orleans, Louisiana 70112, USA. cmelhl@lsuhsc.edu
Martinez
Jorge A
JA
O'Leary
J Patrick
JP
D000029:Abortion, Legal; D014150:Antipsychotic Agents / Q000627:therapeutic use; D004282:Documentation / Q000592:standards; D005249:Fees and Charges / Q000331:legislation & jurisprudence; D006801:Humans; D007603:Jurisprudence; D008318:Malpractice / Q000331:legislation & jurisprudence*; D008487:Medical History Taking; D008499:Medical Records / Q000331:legislation & jurisprudence* / Q000592:standards; D011618:Psychotic Disorders / Q000188:drug therapy; D016079:Refusal to Treat / Q000331:legislation & jurisprudence; D014481:United States
D014150:Antipsychotic Agents