Medical Record Documentation: Paint The Clinical Picture with Complete and Accurate Documentation Medical record documentation errors continue to play a significant role in medical malpractice claims. Incomplete and inaccurate documentation can lead to a variety of unintended consequences including delayed diagnosis or misdiagnosis, patient harm, and death, any of which can lead to medical malpractice claims. Documentation errors encompass missing or incorrect information in charts, notes, transcriptions, and other electronic health record (EHR)-related areas. Copy/forward and drop-down menu functions, the ability to easily document on the wrong patient or in the wrong location of a chart, and late entries that may appear concurrent are all documentation issues that can cause patient injuries and/or impact the defense of a lawsuit. Certain aspects of the medical documentation process may invite behaviors that contribute to errors and inappropriate notations, increasing the likelihood of later liability. November 4, 2024 Practice Management, RCMA/CMA, Resources, Risk Management Business Partner, Medical Record Documentation, ProAssurance, RCMA, Resources, Risk Management 0 0 Comment Read More »
Is It Safe to Send That Text? The Patient Safety and Liability Risks Associated withText Messaging. Texting in a healthcare environment has risks and benefits. In the following article, Mary-Lynn Ryan, Senior Risk Management Consultant with ProAssurance shares ways to avoid risk when using text technology in your practice. November 14, 2023 Health Information Technology (HIT), Physician Wellness, Practice Management, RCMA, Resources, Risk Management , Riverside County Community Physicians, ProAssurance, RCMA, RCMA Docs, Risk Management, Texting Safety 0 0 Comment Read More »
Managing the Stressors Driving Physician Burnout Research indicates that a majority of physicians may be suffering from burnout and that burnout is nearly twice as prevalent among physicians as among other workers in the United States. Who or what is responsible for physician burnout is a complicated question that has prompted a great deal of research over many years. Burnout in physicians has been defined as emotional exhaustion, impersonal reaction to patients, feelings of incompetence, low achievement, and lack of motivation. There are multiple tools to measure physician burnout and wellness. Assessing the problem is a key organizational and personal strategy for ensuring quality patient care and physician well-being. March 27, 2023 Physician Wellness physician burnout, physician wellness, ProAssurance, risk management 0 0 Comment Read More »
