Medical Records
Top Four Attorney Concerns About Medical Records Part 3: Certified Copies – Are They Complete?
This is part three of a four part series and a continuation of my prior articles regarding attorney concerns and looks at the third item on the poll run by Pat Iyer; Certified copies-are they complete? How Can You Tell? A physician office or hospital sends you a copy of your client’s medical record and…
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Top Four Attorney Concerns About Medical Records Part 2: Lack of Uniformity of Charting Systems
This is a continuation from my prior article regarding attorney concerns and looks at the second item on the poll run by Pat Iyer; lack of uniformity of charting systems. You Are Not Alone Attorneys are not alone with this frustration as many medical providers have the same frustration; especially now with the implementation of…
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Top Four Attorney Concerns About Medical Records Part 1: Reading Handwriting in Written Medical Records
According to a poll run by Pat Iyer, the top four attorney concerns about medical records were reading the handwriting on manually written medical records, the lack of uniformity of charting systems, knowing whether certified copies are complete, and that the electronic medical records provide little insight. Poor Handwriting Reading handwriting in written medical records…
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Medical Errors: A Leading Cause of Death in the US
The electronic medical record was implemented to try and reduce the number of medical errors by providing continuity of care as well as a solution to the problem of deciphering illegible handwriting. Over the past several years, most physician offices and hospitals have converted to utilizing this type of charting system. However, in a study…
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Recent Case Law and the Electronic Medical Record
In 2005, President George W. Bush mandated the use of the electronic medical record (EMR) causing nearly every health care facility to convert from paper records to the EMR. Two recent (2011) court decisions may impact the standard of care and provide some guidance on how to handle EMR litigation. Embedded Warnings Many EMR systems…
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