title: Effectiveness of a medicolegal lecture on risk-reduction medical record documentation by pediatric residents.
abstract: OBJECTIVE
  To determine the effectiveness of a medicolegal lecture on risk-reduction documentation by residents in a pediatric emergency department.
  
  
  METHODS
  Pediatric residents at an academic children's hospital were offered a 1-hour lecture on reducing medicolegal risks. Residents in attendance made up the intervention group (IG) and nonattendants were the control group (CG). The primary outcome was risk-reduction documentation (RRD) using patients with chief complaints of abdominal pain, extremity fractures, and lacerations with potential foreign body.
  
  
  RESULTS
  For abdominal pain patients, RRD by IG improved 6.1% compared with 15.1% for the CG. For fracture patients, RRD by IG improved 20% compared with 26.5% decrease by CG. For laceration patients, RRD by IG decreased 20.8% compared with 30.6% decrease by CG. Although none reached statistical significance, the postintervention IG rates were greater.
  
  
  CONCLUSIONS
  We showed a trend toward improvement in the rate of risk-reduction medical record documentation.
authors.affiliation: 1Monroe Carell Jr Children's Hospital at Vanderbilt, Nashville, TN, USA.
authors.forename: Jaime K
authors.initials: JK
authors.lastname: Otillio
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Park
authors.forename: Kathryn M
authors.initials: KM
authors.lastname: Hewett
authors.forename: Joseph D
authors.initials: JD
authors.lastname: Losek
mesh_terms: D004282:Documentation; D005260:Female; D006801:Humans; D007396:Internship and Residency; D007603:Jurisprudence; D008297:Male; D008499:Medical Records; D010372:Pediatrics / Q000193:education*; D040242:Risk Reduction Behavior; D014481:United States
keywords: documentation; medicolegal education; resident curriculum; risk management; risk-reduction