Head off potential litigation – Use notes and documentation to avoid problems

Description

Abstract: For physicians, taking good notes and creating full and complete documentation on each patient is important — both for providing optimal care and as a shield against lawsuits or other inquiries. This article offers some tips on good recordkeeping practices, such as including images in notes and documenting the thinking behind each diagnosis — including the recommended treatment plan. The article points out that the extra time physicians spend on writing longer, more detailed notes will pay off in better, more comprehensive patient care and less litigation risk.