Do’s and don’ts of defensive documentation
American Nurse
FEBRUARY 21, 2024
In addition to creating potential legal issues, keep in mind that many patients are now requesting their medical records and will see what you have written. For example, a 2022 study by Sun and colleagues found that Black patients had 2.54 For example, “patient slurring words, eyes bloodshot”rather than “drunk”.
Let's personalize your content