Protecting Your Present and Future: Legal Issues, Being a Witness, EMR Documentation

Errors and omissions in medical documentation can lead to problems in the delivery of medical care, but they can also lead to problems in defending subsequent litigation even when the care itself was properly rendered. This presentation will identify common documentation errors and omissions that are commonly seized upon by plaintiffs attorneys in litigation, strategies to avoid them, and how to deal with any documentation problems in deposition.

Learning Objective:

• Learners will gain insight on documenting an electronic medical record with mindfulness towards improving internal communication, and being able to use that documentation to remember their thought process and decision making when asked about that documentation years later in a litigation setting.