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Poor Documentation And Risk

Stories and analysis collected under “Poor Documentation And Risk”.

Related:Malpractice And Professional DocumentationProvider Duty And DocumentationDocumenting Communication With Patients And FamilyWhat To Document In Critical Care SituationsDocumentation On The RecordResponsible Documentation Of Maternity CareProper Terms Used At TrialExamination Of Hospital Documentation At TrialCritical Thinking And Documentation Of CareUsing Standard Terms In Documentation
Responsible Documentation of Patient Care: Avoiding Legal Risk III preview image
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Jun 25, 2025

Responsible Documentation of Patient Care: Avoiding Legal Risk III

Avoid comments in your documentation that can be considered “blaming” e.g. “I gave the order to the nurse but she never seems to listen to anything I say”. Generally avoid recording any negative conversations or disruptive team member behavior. This scenario will make any plaintiffs’ attorney jump fpr joy.

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