Nursing Documentation Essay

1245 Words5 Pages
Nursing Documentation and Malpractice Law

HCS/545 Health Law and Ethics

May 31, 2010
Mary Nell Cummings

Nursing Documentation and Malpractice Lawsuits

Proper medical documentation can prevent liability issues and malpractice lawsuits. The focus on my paper will concentrate on nursing documentation and malpractice lawsuits. I presently work for a home health care agency. The entire staff throughout the company was recently informed of increased Medicare denials and possible lawsuits as results of inadequate documentations. A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation. Thus, I will discuss the impact of inadequate nursing documentation that leads to malpractice lawsuits. Purpose of Medical Record Documentation Understanding the purpose of medical documentation was the first step in teaching how to prevent inadequate documentations that leads to liability and malpractice lawsuits. Monarch (2007) supports the purpose of Medical Record Documentation as the following: • Substantiating the health condition or illness or presented concern for the patient. • Effective communication among health care staff. • Charting the patient’s response to care. • Auditing care for improvement, third-party payment, and governmental, and regulatory purposes. • Teaching health care professional about care issues for the patients.
Key reminders of documentation gave focus on the goals to staff of ways to improve documentations for financial concerns for payments by Medicare, liability issues, and possible malpractice lawsuits. Liability Issues for Inadequate Documentation The first educational meeting included the definition of

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