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Defensible Documentation
Defensible Documentation
NOTE: Pre-course LMS module will be assigned upon registration and will be required to be completed prior to class.
Presented by: Jushua Martell from Medical Mutual
Will Your Documentation Help You or Hurt You?
Documentation is an essential part of patient care. When documentation is incomplete, your patient’s safety and provider liability are at risk. If the patient claims they have been harmed, one of the first steps taken is a review of your documentation in the medical record. Could you defend yourself against medical negligence with your medical record documentation alone?
Join us to learn ways to improve documentation in your practice.
- Examine the challenges with documentation
- Review frequent allegations made against Nurses
- Recognize the liabilities associated with incomplete documentation
- Apply strategies to improve documentation
- Document patient interactions objectively, accurately, and concisely
Please contact the Clinical Education Department 744-6075 / 6038; WMHEducation@mainehealth.org with any questions.