The Legal Impact of Documentation

If you or your organization are involved in a lawsuit, you will have to defend your decisions and documentation (or lack thereof). The main source of truth will be the patient’s medical record. Complete records will defend you against allegations of negligence, improper treatment or omissions of care. On the other hand, medical malpractice lawsuits are very difficult to defend when poor documentation practices are identified throughout the record. We will discuss how insufficient documentation is a major issue noted in malpractice claims and a top driver in indemnity payments. The target audience for this session is hospital leadership, risk managers, and providers.

Learning Objectives

• Identify and discuss key essentials of documentation in the medical record to successfully defend professional practice during legal proceedings (deposition/trial)
• Discuss frequent documentation and testimony challenges encountered during legal proceedings (deposition/trial)
• Identify at least 3 clinical situations that require narrative documentation
• Incorporate at least one “lesson learned” into everyday practice

Register for this webinar at https://www.eventleaf.com/e/DocumentationPart1