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Tag Archives: tampering with medical records
Computerized medical records – forensic issues Part 1
There is a strong trend to computerization of medical records. This method of recording information about a patient offers many advantages. The fourth is the impact on forensic issues. *** News flash: The Institute of Medicine (IOM) will conduct a … Continue reading
Pat Iyer’s 9 tips on detecting altered medical records Part 5
• Examine logs or communication books kept at the nursing station of some nursing homes. I found a note in a nursing home communication book that stated, “When you recopy the nurses’ notes, leave enough room for the night shift … Continue reading
Posted in Healthcare Risk Management, Legal nurse consulting, Medical errors, Medical malpractice, Medical records, Nursing malpractice, Tampering with evidence, Trial lawyer skills
Tagged altered medical records, altered records, spoliation of evidence, spoliation of medical records, tampering with medical records
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Pat Iyer’s 7 tips on detecting altered medical records part 4
• Look for the “too good to be true” pattern of documentation. For example, the patient was steadily losing weight but supposedly consuming 100 percent of his 2000 calories per day diet. • Note entries that are self-serving and needlessly … Continue reading
Posted in Healthcare Risk Management, Legal nurse consulting, Medical errors, Medical malpractice, Medical records, Nursing malpractice, Tampering with evidence, Trial lawyer skills
Tagged altered medical records, altered records, spoliation of medical records, tampering with medical records
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Pat Iyer’s Dirty Dozen Tips for Detecting Altered Medical Records Part 3
• Examine handwriting to see if there are obvious changes in the appearance of the writing within an entry. Another thing to look for is a change in style. If notes are sloppily written and suddenly a page of neatly … Continue reading
Pat Iyer’s Dirty Dozen Tips for Detecting Altered Medical Records Part 2
• Compare the nursery records generated at birth with those sent to the hospital to which the baby is transferred. • Review the copies of hospital records found within a physician’s office records with those supplied by the hospital. • … Continue reading
Pat Iyer’s Dirty Dozen Tips for Detecting Altered Records Part 1
• Determine if the entries are in correct sequences and the date is within the correct time frame. For example, a physician recopying an office note may inadvertently use the year that the change is being made, rather than the … Continue reading
Why risk tampering with medical records? By Pat Iyer
A physician gets a notice that he is being sued. He gives into the temptation to review his office records. He decides to change an entry to 1. More completely describe events 2. Make it look as if he did … Continue reading
