Charting for the Jury: Improving Documentation & Quality Care
StreamedApr 21, 2020Duration90 minutes
See Registration Options
- Unlimited and shareable access
two business days after live streaming
- Available on desktop, mobile & tablet devices 24/7
- Take-away toolkit
- Ability to download webinar video
- Presenter's contact info for questions
Protect your agency during a malpractice suit and improve patient care with documentation
Ensure your team is prepared and understands the proper processes and potential consequences of inadequate charting.
AFTER THIS WEBINAR YOU’LL BE ABLE TO:
- Determine the difference between correcting and altering records
- Assess a medical record correction using the SLIDE rule
- Use the “chunk and check” technique to determine the patient’s understanding and likely follow through
- Recognize the risks of altering a medical record
- Explain why documenting patient telephone calls is essential
- Judge the gaps in report tracking that result in patient injury
- Reduce the risk of medication errors
- Avoid common errors in electronic recordkeeping
- Describe the consequences of not documenting a patient’s failure to follow through
The true importance of documentation is to improve patient care. When records are kept carefully and consistently, the treatment team provides better care. This care experience is a significant event in a patient’s life. If a malpractice suit is filed, the patient will recall the “facts” in minute detail. However, a caregiver’s recollections may be considered unsubstantiated if not properly documented – even if based on standard practice. The patient’s recollections are unsubstantiated, but patients are not obligated to keep records. Fortunately, concise recordkeeping that accurately reflects the care provided and related reasoning carry greater weight with a jury, unless something is done to discredit the records.
In court, the patient’s attorney will often ask how many patients you care for during an average day. That number is then multiplied by the number of days, weeks, and years since the time in question. With so many patients, how can you remember this situation so well? Who did you care for after this patient? Which nurses were on duty that day? What time did you get back from lunch? These issues have nothing to do with the malpractice suit, but can influence the jury to give the patient’s memory more weight. Medical records may be your best friend or worst enemy in the courtroom. If properly prepared, they are the best, and sometimes the only, defense during malpractice litigation.
THIS WEBINAR WILL BENEFIT THE FOLLOWING AGENCIES:
- Home Care
WHO SHOULD ATTEND?
This informative session is designed for all personnel who document patient care, quality improvement directors, medical and nursing directors, risk managers, and leadership.
- Learning guide
- Telephone call documentation log
- Additional resources
- PDF of slides and speaker’s contact info for follow-up questions
- Attendance certificate provided, however there are no pre-approved CEs associated with this webinar
NOTE: All materials are subject to copyright. Transmission, retransmission, or republishing of any webinar to other institutions or those not employed by your agency is prohibited. Print materials may be copied for eligible participants only.
© 2022 FINANCIAL EDUCATION & DEVELOPMENT, INC