Articles Tagged With: Documentation
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Legally Protective Charting Sticks to the Facts
Charts containing emotional statements, accusations, and speculations might be compelling reading, but they are legally problematic.
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Documentation Mistakes Lead to Significant Malpractice Awards
Ensure charts are generated honestly, and check to make sure key care decisions are carefully documented regarding consent.
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Legally Protective Charting Sticks to the Facts
Charts containing emotional statements, accusations, and speculations might be compelling reading, but they are legally problematic.
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Documentation Mistakes Lead to Significant Malpractice Awards
Ensure charts are generated honestly, and check to make sure key care decisions are carefully documented regarding consent.
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EP Could Be Deposed if Patient Was Misdiagnosed at Another ED
Beware making well-meaning statements or criticizing other clinicians in front of patients.
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When ED Providers Overlook Information Conveyed by EMS
The emergency physician and ED nurse should take the report together when EMS arrives. Listen to what EMS found at the scene, what they did in terms of treatment, and what the response to that treatment was. Together, decide on the next steps.
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Family Violence Implicated in Injury-Related ED Visits
ED-based efforts to screen and intervene can be critical to preventing future violence. This is important not only for family and peer violence, but also for contributory factors — mainly, access to alcohol, drugs, and weapons. In addition to obtaining thorough patient and family interviews, using standardized instruments to screen for these factors can help identify youth at risk, and link them to appropriate interventions and care.
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Artificial Intelligence Documentation Assistant Shows Promise for Healthcare Charting
Advocates are seeking relief for physicians overburdened with too many administrative tasks.
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Legal Exposure Regarding Recurrent Low-Risk Chest Pain
The most important actions an emergency physician can take are to gather a thorough medical history and correctly interpret the ECG.
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Chaplains Play Unique Role in Advance Care Planning
Ninety percent of 585 of board-certified healthcare chaplains said advance care planning is important to their work, 70% regularly help patients complete paperwork after discussions, 90% facilitate discussions with patients about their preferences, and 45% reported they were not consistently included in team discussions on decision-making.