Medical Records
DME Report Writing: A Comparative Analysis
DME Report Writing In Defense Medical Exams (DMEs), the significance of the reports prepared by the examining physician and the Legal Nurse Consultant (LNC) who observed the exam cannot be overstated. These reports serve as crucial documentation that can significantly influence the outcome of legal proceedings. Understanding how these reports coincide or differ is essential…
Read MoreDumpster Diving Difficulties
I couldn’t believe what I heard. “The records you just threw away? They are the only copy that exists.” The defense attorney hired my LNC company to create summaries and other work products for a case involving multidistrict litigation. The plaintiffs alleged their back injuries were due to defective pedicle plates and screws. Over 100…
Read MoreHow to Focus on the Needs of Your Attorney Audience
You have an opportunity to speak to an attorney audience. You want to make a great presentation. The surest way to add value to the attorney’s understanding of medical issues is to identify how you can use your expertise to help your attorney audience. Check out these tips: Speak to the needs of your audience.…
Read More7 Tips for Organizing Paper Medical Records
Following these tips will help make the job of organizing paper medical records easier. Use a consistent format One of the biggest tips in organizing medical records is to use a consistent format. It is easier to locate information when you develop a pattern of placing the same sections of the medical record in the…
Read MoreBrooks Ayers falsified medical records
Tampering with medical records is much more often the act of a healthcare professional desperate to hide the facts of a case. In a bizarre twist, Brooks Ayers falsified cancer records from a facility that never treated him. Who is he? For people like me who do not watch TV, Brooks Ayers is a guy…
Read MoreWhat 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.
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