Medical Records
What happens when patients read their charts
Over five million patients reading their charts, particularly a primary care doctor’s notes – with identifiable benefits for patient safety. Beginning in 2010, more than 100 primary care physicians invited their patients to read their office notes through a secure website. Patients read their charts say Feeling more in control of their health Better prepared…
Read MoreIndex of Medical Records: A Key to Success
You are an expert witness or a legal nurse consultant who sends medical records to an expert witness. An up-to-date index of medical records is a key to success. It helps both the expert and the attorneys quickly determine which records an expert has received. How to create an index of medical records Avery produces…
Read MoreElectronic Health Records Safety part 1
Do you understand the issues around the implementation of an EHR within a healthcare organization or provider practice? They can profoundly affect patient safety through electronic health records safety. Informatics knowledge will position you for a greater understanding of the scope and breadth of potential electronic health records safety errors and risks associated with an…
Read MoreCopying and Pasting in Medical Records: How to Recognize It
As a legal nurse consultant, you are in an ideal position to detect copying and pasting in medical records. This is what you might see: A staff nurse copies the note she wrote the previous day. Or she copies the note written by the previous shift. The attending physician copies a progress note he wrote…
Read MoreHow to Organize Medical Records
Watch this for some practical tips for legal nurse consultants on organizing medical records.
Read MoreEmergency Department Medical Records Part 2
Legal nurse consultants play a vital role in helping attorneys understand medical records. Here are some of the things you may find in emergency department medical records. Read part 1 for more tips about emergency department medical records. What to look for in emergency department medical records • Was there a positive alcohol smell noted?…
Read MoreEmergency Department Medical Records Part 1
Use your legal nurse consulting skills to help attorneys understand emergency department medical records. Here are some of the details in emergency department medical records that affect personal injury cases. Analyzing emergency department medical records • Who first saw the patient? Usually a triage nurse will evaluate the patient before the patient is officially checked…
Read MorePersonal Injury Medical Records – What to Look For
Physician office records may hold the keys for analyzing personal injury cases. These personal injury medical records can make or break a plaintiff’s case. It is crucial that you as the legal nurse consultant are able to read and decipher these records in a personal injury case. Look for these pieces of information. Personal Injury…
Read MoreMissing Medical Records
How do you know as a legal nurse consultant that there are missing medical records? Are the medical records complete? Although a copy of a certified medical record is supposed to be compared by the medical records custodian with the original, it is common for LNCs to detect there are missing medical records. This often…
Read More3 Ways to Pitch Your Value to Attorneys: Medical Records
Anyone can read a medical record. Or can they? If everyone could read medical records, the attorney would not need someone with medical background to assist in understanding the medical records. How do you pitch your value to attorneys about medical record analysis? This is what an LNC offers: the keys to medical record analysis…
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