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How Poor Documentation Does Damage in the Courtroom

Author: Schott, Sharon

Source: Journal of AHIMA

Publication Date: April 2003

Poor documentation practices can result in a host of problems, and even minor errors can come back to haunt an organization. Here, learn how documentation errors can be used against your facility in a lawsuit.
In our increasingly litigious society, medical malpractice lawsuits are becomin....

Record Reviews, Clinician Education Form Best Defense

Author: Pinder, Ray

Source: Journal of AHIMA

Publication Date: April 2003

We have all heard stories about attorneys winning large settlements for their clients due to lack of or insufficient documentation in the medical record. Many HIM professionals have taken steps to teach the basics to physicians, nurses, and other health professionals that have documentation re....

Documentation Issues

Author: Kennedy, James S.

Source: AHIMA community resource

Publication Date: March 02, 2003

Issues to Consider If you write: Consider this: Acute Coronary Syndrome: This is a great admitting diagnosis, however it is so broad that it doesn't tell us the exact pathophysiology of what we found after study, diagnosis, and treatment of our patient. Does the patient have a coronary thromb....

Preventing Risk in Long-term Care: Lessons Learned

Author: Wright, Amy

Source: Journal of AHIMA

Publication Date: January 2003

“If you or a loved one has been the victim of nursing home abuse, please call for a free consultation.” This refrain is familiar to Floridians and is quickly moving to other states where laws allow large punitive or damage awards for malpractice lawsuits.

Long-term c....

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