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Incomplete Medical Records

Oct 07, 2013 by ArtiModi

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The attorney reviewing a medical record finds that there is no documentation that describes what a healthcare provider did. What are some possible explanations? Attorneys like to use the phrase “If you didn’t chart it, you didn’t do it” to [...]

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Communication skills Medical records

Nursing documentation: if you didn’t chart it you didn’t do it

May 25, 2011 by ArtiModi

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Missing Nursing Documentation “If you didn’t chart it you didn’t do it.” In the medical legal world, this expression engenders more fear in nurses than almost any other phrase as it is used to reiterate the importance of documentation. The [...]

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Incomplete Medical Records

Nursing documentation: if you didn’t chart it you didn’t do it

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