The corporate director of risk management is asked to review a patient’s health record in preparation...

The corporate director of risk management is asked to review a patient’s health record in preparation for a legal proceeding for a malpractice case. The lawsuit was brought by the patient 72 days after the procedure. Health information contains a summary of two procedures that were dictated 95 days after the procedure. The physician in question has a longstanding history of being non-compliant with the organization’s record completion policies, and previous concerns regarding this physician’s record maintenance practices had been reported to the organization’s Credentialing Committee.

•Explain why this health information may not be admissible in court.

•What judgment, if any, regarding negligence could be made against the organization?

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Expert Solution

Explain why this health information may not be admissible in court

This information will not be admissible in the court because the timeline of the information noted is after the incident and the procedure and the details of the surgery of the medical procedure could have been missed, altered or written in a manner which does not describe the particular events that happened accurately. Due to the non compliance of the physician and the doctor the information presented in the court house could be ineligible due to lack of credibility and accountability in terms of accuracy of the information and the basis for a legal precedents would not apply for this health information. also the organisations record competition practices have not been followed with this physician and the lack of accountability for the reduces the credibility of the records which leads to the case being open two subject to interpretation and does not form a strong bases for legal precedence.

What judgment, if any, regarding negligence could be made against the organization?

In this case the organisation is responsible for negligence and up to a certain extent malpractice and abatement to such unprofessional and unlawful activities such as the pending records which lead to increase in the information and thus affecting the legal rights and well-being of the patients due to negligence of the doctors. The doctors are responsible for record keeping and accuracy of the records and it is the responsibility of the organisation to oversee the quality of the work produced and the accuracy of the records that the maintain time to time. Show the quality of the record has to be maintained by the organisation by implementing certain policies and not only implementing but also regularly e following up with error checking and accountability to regular auditing and such procedures must have impact on the accountability of the medical records which are very critical in legal cases and even in cases where medical accuracy of the information could save a patient life. Swine appropriate penalty to the organisation and strict and Stern warning regarding maintaining the quality of the records and also legal action on the particular doctor for non-compliance should be taken in the judgement by the court and the patient should be given justice in this case.

Nightingale answered 1 year ago

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