Dr. Funk is a practicing emergency medicine physician in Springfield, Missouri, and owner of Med Mal Reviewer, LLC. He writes about medical malpractice at www.medmalreviewer.com.
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ACEP Now: Vol 40 – No 10 – October 2021Pages: 1 2 3 | Single Page
One Response to “Lesson Learned: Delayed Documentation Can Lead to Suspicion”
October 24, 2021
Anthony PohlgeersThere will always be suspicion in anything we document. Not documenting this finding would also be suspicious; especially if it came out in RN or RT testimony later. This addendum was timed appropriately and certainly while the patient was fresh to the ICU and when ‘final outcome’ could not have been known by this physician. My vote would be document this ‘remembrance’ even if suspicion is generated in retrospect.