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 deter...
Gespeichert in:
| Veröffentlicht in: | Journal of surgical education 2009-03, Vol.66 (2), p.113-117 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 117 |
|---|---|
| container_issue | 2 |
| container_start_page | 113 |
| container_title | Journal of surgical education |
| container_volume | 66 |
| creator | Lyons, John M., MD Martinez, Jorge A., MD, JD O'Leary, J. Patrick, MD |
| description | 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. |
| doi_str_mv | 10.1016/j.jsurg.2008.12.002 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67321849</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1931720408003085</els_id><sourcerecordid>67321849</sourcerecordid><originalsourceid>FETCH-LOGICAL-c412t-19f89d6b78c872f28d634579f43479689d08872cf8e30e75b764e0caf60c70213</originalsourceid><addsrcrecordid>eNqFkUlLxEAQhRtR3H-BIDl5S6xe0ougIIMbOAgu5ybTqUhiZjJ2J4L_3o4zInjxVAXvvSrqK0KOKGQUqDxtsiYM_jVjADqjLANgG2SXaqVTJXK2GXvDaaoYiB2yF0IDkAvDzDbZoUZoqZXcJWyKZe2KNpkW7dIXrq8dxr7v0Yez5Ed8RNf5MpkmJ8k0HJCtqmgDHq7rPnm5vnqe3Kb3Dzd3k8v71AnK-pSaSptSzpR2WrGK6VJykStTCS6UkVEDHQVXaeSAKp8pKRBcUUlwChjl--RkNXfpu_cBQ2_ndXDYtsUCuyFYqTijWpho5Cuj810IHiu79PW88J-Wgh1R2cZ-o7IjKkuZjahi6ng9fpjNsfzNrNlEw_nKgPHIjxq9Da7GhYtMPLrell39z4KLP3nX1ouR5xt-Ymi6wS8iP0ttiAH7NH5rfBZoAA4651_Qq4ze</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>67321849</pqid></control><display><type>article</type><title>Medical Malpractice Matters: Medical Record M & Ms</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Lyons, John M., MD ; Martinez, Jorge A., MD, JD ; O'Leary, J. Patrick, MD</creator><creatorcontrib>Lyons, John M., MD ; Martinez, Jorge A., MD, JD ; O'Leary, J. Patrick, MD</creatorcontrib><description>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.</description><identifier>ISSN: 1931-7204</identifier><identifier>EISSN: 1878-7452</identifier><identifier>DOI: 10.1016/j.jsurg.2008.12.002</identifier><identifier>PMID: 19486876</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abortion, Legal ; Antipsychotic Agents - therapeutic use ; Documentation - standards ; Fees and Charges - legislation & jurisprudence ; Humans ; Jurisprudence ; Malpractice - legislation & jurisprudence ; Medical History Taking ; medical malpractice ; medical record ; Medical Records - legislation & jurisprudence ; Medical Records - standards ; Psychotic Disorders - drug therapy ; Refusal to Treat - legislation & jurisprudence ; Surgery ; United States</subject><ispartof>Journal of surgical education, 2009-03, Vol.66 (2), p.113-117</ispartof><rights>Association of Program Directors in Surgery</rights><rights>2009 Association of Program Directors in Surgery</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c412t-19f89d6b78c872f28d634579f43479689d08872cf8e30e75b764e0caf60c70213</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1931720408003085$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19486876$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lyons, John M., MD</creatorcontrib><creatorcontrib>Martinez, Jorge A., MD, JD</creatorcontrib><creatorcontrib>O'Leary, J. Patrick, MD</creatorcontrib><title>Medical Malpractice Matters: Medical Record M & Ms</title><title>Journal of surgical education</title><addtitle>J Surg Educ</addtitle><description>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.</description><subject>Abortion, Legal</subject><subject>Antipsychotic Agents - therapeutic use</subject><subject>Documentation - standards</subject><subject>Fees and Charges - legislation & jurisprudence</subject><subject>Humans</subject><subject>Jurisprudence</subject><subject>Malpractice - legislation & jurisprudence</subject><subject>Medical History Taking</subject><subject>medical malpractice</subject><subject>medical record</subject><subject>Medical Records - legislation & jurisprudence</subject><subject>Medical Records - standards</subject><subject>Psychotic Disorders - drug therapy</subject><subject>Refusal to Treat - legislation & jurisprudence</subject><subject>Surgery</subject><subject>United States</subject><issn>1931-7204</issn><issn>1878-7452</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUlLxEAQhRtR3H-BIDl5S6xe0ougIIMbOAgu5ybTqUhiZjJ2J4L_3o4zInjxVAXvvSrqK0KOKGQUqDxtsiYM_jVjADqjLANgG2SXaqVTJXK2GXvDaaoYiB2yF0IDkAvDzDbZoUZoqZXcJWyKZe2KNpkW7dIXrq8dxr7v0Yez5Ed8RNf5MpkmJ8k0HJCtqmgDHq7rPnm5vnqe3Kb3Dzd3k8v71AnK-pSaSptSzpR2WrGK6VJykStTCS6UkVEDHQVXaeSAKp8pKRBcUUlwChjl--RkNXfpu_cBQ2_ndXDYtsUCuyFYqTijWpho5Cuj810IHiu79PW88J-Wgh1R2cZ-o7IjKkuZjahi6ng9fpjNsfzNrNlEw_nKgPHIjxq9Da7GhYtMPLrell39z4KLP3nX1ouR5xt-Ymi6wS8iP0ttiAH7NH5rfBZoAA4651_Qq4ze</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>Lyons, John M., MD</creator><creator>Martinez, Jorge A., MD, JD</creator><creator>O'Leary, J. Patrick, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090301</creationdate><title>Medical Malpractice Matters: Medical Record M & Ms</title><author>Lyons, John M., MD ; Martinez, Jorge A., MD, JD ; O'Leary, J. Patrick, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c412t-19f89d6b78c872f28d634579f43479689d08872cf8e30e75b764e0caf60c70213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Abortion, Legal</topic><topic>Antipsychotic Agents - therapeutic use</topic><topic>Documentation - standards</topic><topic>Fees and Charges - legislation & jurisprudence</topic><topic>Humans</topic><topic>Jurisprudence</topic><topic>Malpractice - legislation & jurisprudence</topic><topic>Medical History Taking</topic><topic>medical malpractice</topic><topic>medical record</topic><topic>Medical Records - legislation & jurisprudence</topic><topic>Medical Records - standards</topic><topic>Psychotic Disorders - drug therapy</topic><topic>Refusal to Treat - legislation & jurisprudence</topic><topic>Surgery</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lyons, John M., MD</creatorcontrib><creatorcontrib>Martinez, Jorge A., MD, JD</creatorcontrib><creatorcontrib>O'Leary, J. Patrick, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of surgical education</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lyons, John M., MD</au><au>Martinez, Jorge A., MD, JD</au><au>O'Leary, J. Patrick, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Medical Malpractice Matters: Medical Record M & Ms</atitle><jtitle>Journal of surgical education</jtitle><addtitle>J Surg Educ</addtitle><date>2009-03-01</date><risdate>2009</risdate><volume>66</volume><issue>2</issue><spage>113</spage><epage>117</epage><pages>113-117</pages><issn>1931-7204</issn><eissn>1878-7452</eissn><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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>19486876</pmid><doi>10.1016/j.jsurg.2008.12.002</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1931-7204 |
| ispartof | Journal of surgical education, 2009-03, Vol.66 (2), p.113-117 |
| issn | 1931-7204 1878-7452 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_67321849 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Abortion, Legal Antipsychotic Agents - therapeutic use Documentation - standards Fees and Charges - legislation & jurisprudence Humans Jurisprudence Malpractice - legislation & jurisprudence Medical History Taking medical malpractice medical record Medical Records - legislation & jurisprudence Medical Records - standards Psychotic Disorders - drug therapy Refusal to Treat - legislation & jurisprudence Surgery United States |
| title | Medical Malpractice Matters: Medical Record M & Ms |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-30T18%3A34%3A04IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Medical%20Malpractice%20Matters:%20Medical%20Record%20M%20&%20Ms&rft.jtitle=Journal%20of%20surgical%20education&rft.au=Lyons,%20John%20M.,%20MD&rft.date=2009-03-01&rft.volume=66&rft.issue=2&rft.spage=113&rft.epage=117&rft.pages=113-117&rft.issn=1931-7204&rft.eissn=1878-7452&rft_id=info:doi/10.1016/j.jsurg.2008.12.002&rft_dat=%3Cproquest_cross%3E67321849%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=67321849&rft_id=info:pmid/19486876&rft_els_id=S1931720408003085&rfr_iscdi=true |