|
Contributors:
Kathleen Ashton,
Marguerite Barbacci,
Barbara Mladenetz
Weber Berry, Gloria
Blackmon, Bruce
Bonnell, Douglas
R. Briggs, Kenneth
Burns, Stacy
S. Cohen, Steven
Castle, Barry
Cooper, Yvonne
D’Arcy, Susan
G. Engleman, Marjorie
Eskay-Auerbach, Mary
Fakes, Jamie
Ferrell, Marilyn
Frank-Stromborg, Agnes
Grogan, Thomas
Haas, A. Frank
Hicks, Kelly
A. Jaszarowski, Leilani
Kicklighter, Arlene
Klepatsky, Steve
A. Koehler, Roy
Konray, Elliott
M. Korn, Jo Anne
Kuc, Michael
T. Lennon, Jeffrey
M. Levine, Virginia
A. Lynch, Susan
Masoorli, Joanne
McDermott, Wanda
K. Mohr, Bob
Morgan, Scott
A. Mullins, Cynthia
Northcutt, Jane
O'Rourke, Ann
M. Peterson, Sally
Russell, Desirée
Bromme Sierens, Ginny
Tucci Starke, Keith
M. Starke,
Dana Stearns, Jill
Thomas, Cyril
H. Wecht, Howard
Yeon, Jeffrey
I. Zimmerman
Special
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A new
critical reference for understanding medical records.
This comprehensive
book sheds light on the complex world of medical records.
Although the book originally was intended to focus just
on medical records, each author took advantage of the opportunity
to provide a wider glimpse into the subject matter. Thus,
the reader will come away from this book gaining broader
knowledge about healthcare delivery, which will assist in
analyzing medical records and details. The text is intended
to benefit attorneys, paralegals, legal nurse consultants,
risk managers, and anyone else with a keen appreciation
of the nuances of medical records.
The text is divided
into four sections. Part One provides an overview of documentation
practices and legal issues associated with generating, preserving,
and obtaining medical records. Part Two and Part Three bring
the reader into the specialty areas of inpatient and outpatient
medical records. Clinical experts (doctors, nurses, a pharmacist,
chiropractors) explain the basics of each specialty area.
Part Four gathers together chapters on forensic issues of
medical records. the final section deals with the impact
of records on litigating cases.
Review:
Upon
turning the initial pages of this textbook, one becomes
acutely aware that this publication is an incredible compilation
of information essential to the practice of any legal nurse
consultant (LNC). Penned by authors well-known for their
extensive involvement and long term commitment to legal
nurse consulting... the book has exceptional depth and breadth.
(read more)
Table of contents
Related books:
With Patricia Iyer as author,
editor, or contributor
ABC's of Medical Records: Medical Abbreviations
Detection
of Tampering with Medical Records Toolkit for Administrators,
Risk Managers, and Defense Attorneys
Detection
of Tampering with Medical Records Toolkit for Plaintiff
Attorneys, Legal Nurse Consultants, and Paralegals
Essentials
of Medical Record Analysis
Legal
Nurse Consultant's Handbook
Medical
Legal Quick Tips
Medication
Errors Toolkit
Nursing Documentation
Nursing
Home Liability Toolkit
By other authors
Demonstrative
Evidence for
Complex Litigation: A Practical Guide
Hospital
Liability
Preparation
and Trial of Medical Malpractice Cases
Table
of Contents (read
more about the editors
and contributors)
| One |
Overview |
|
| 1 |
Generating
and Preserving Medical Records |
Cynthia
Northcutt and Mary Ann Shea |
| 2 |
Legal
Aspects of Charting |
Patricia
Iyer |
| 3 |
Obtaining
and Organizing Medical Records |
Patricia
Iyer |
| 4 |
Analyzing
Medical Records |
Marguerite
Barbacci |
| 5 |
Nursing
Process: Overview of Documentation and Assessment |
Patricia
Iyer |
| 6 |
Nursing
Process: Nursing Diagnosis and Planning |
Patricia
Iyer |
| 7 |
Nursing
Process: Implementation and Evaluation |
Patricia
Iyer |
| 8 |
Charting
Systems |
Patricia
Iyer |
| 9 |
Computerized
Medical Records |
Patricia
Iyer |
| 10 |
Billing
and Coding |
Agnes
Grogan |
| 11 |
HIPAA |
Marilyn
Frank-Stromborg, Kenneth Burns, Bob Morgan, Desirée
Bromme Sierens |
| 12 |
Standards
Initiatives and Medical Records |
Thomas
Haas and Patricia Iyer |
| 13 |
Presuit
Use of Medical Records |
Leilani
Kicklighter |
| 14 |
Attorney
Use of Medical Records |
Jeffrey
Zimmerman |
| |
|
|
| Two |
Outpatient
Specialty Areas |
|
| 15 |
Chiropractic
Records |
Doug
Briggs and Stacy Cohen |
| 16 |
Dental
Records |
Barry
Cooper |
| 17 |
Home
Care Records |
Barbara
Mladenetz Weber Berry |
| 18 |
Independent
Medical Examination |
Marjorie
Eskay-Auerbach |
| 19 |
Office
Based Medical Records |
Keith
Starke and Ginny Starke |
| 20 |
Ophthalmology
Records |
Elliott
Korn |
| |
|
|
| Three |
Specialty
Areas |
|
| 21 |
Critical
Care Records |
Kathleen
Ashton |
| 22 |
Diagnostic
Testing |
Bruce
Bonnell |
| 23 |
Emergency
Medical Services Records |
Mary
Fakes and Scott Mullins |
| 24 |
Emergency
Department Records |
Dana
Stearns |
| 25 |
Intravenous
Therapy Records |
Susan
Masoorli |
| 26 |
Long
Term Care Records |
Gloria
Blackmon, Patricia Iyer, and Jill Thomas |
| 27 |
Medical
Surgical Records |
Sally
Russell |
| 28 |
Medication
Records |
Mike
Lennon |
| 29 |
Obstetrical
Records |
Joanne
McDermott |
| 39 |
Orthopaedic
Records |
Barbara
Levin and Howard Yeon |
| 31 |
Pain
Assessment and Management |
Yvonne
D'Arcy |
| 32 |
Pediatric
Records |
Susan
Engelman |
| 33 |
Perioperative
Records |
Jo
Anne Kuc |
| 34 |
Physician
Documentation in Hospitals and Nursing Homes |
Jeffrey
Levine |
| 35 |
Psychiatric
Records |
Wanda
Mohr |
| 36 |
Rehabilitation
Records |
Jane
O'Rourke |
| 37 |
Skin
Trauma |
Kelly
Jazsarowski |
| 38 |
Controversies
in Skin Trauma |
Steven
Castle |
| |
|
|
| Four |
Forensic
Aspects |
|
| 39 |
Tampering
with Medical Records |
Roy
Konray and Patricia Iyer |
| 40 |
Forensic
Examination of Medical Records |
A.
Frank Hicks |
| 41 |
Forensic
Medical Records |
Virginia
Lynch and Jamie Ferrell |
| 42 |
Autopsy
Reports |
Cyril
Wecht MD and Steven Koehler |
| |
|
|
| |
Appendices |
|
| 43 |
Medical
Abbreviations |
Ann
Peterson |
| 44 |
Glossary |
Ann
Peterson |
|
