Legal Aspects of Documenting Patient Care PDF Download

Author: Ronald W. Scott
Publisher: Jones & Bartlett Learning
ISBN: 9780834216303
Category : Business & Economics
Languages : en
Pages : 248

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Book Description
This Second Edition Of Our Easy-To-Use Reference Takes A Risk Management Approach To Patient Care Documentation. It Shows Clinicians From A Wide Variety Of Disciplines How To Be Objective, Precise, Unambiguous, And Timely When Documenting Treatment-Related Matters. The Content Is Written In Straightforward Lay Language And Includes Sample Documentation Forms. The New Edition Includes Information On Computerized Documentation; Coverage Of Telehealth Issues; Updates On JCAHO, CARF, And NCQA Accreditation; And Documentation Problems Specific To Non-Hospital And Managed Care Settings.

Author: Ronald W. Scott
Publisher: Jones & Bartlett Learning
ISBN: 9780763730468
Category : Medical care
Languages : en
Pages : 214

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Book Description
Because communication among health care professionals can mean the difference between patient life and death, clear and effective patient care documentation is as important as the delivery of care itself. The rehabilitation professional faces formidable documentation responsibilities. Patient care documentation created by the rehabilitation professional must be accurate, comprehensive, concise, objective, and timely. In an interdisciplinary health care environment, documentation must also be expeditiously communicated to other professionals on the health care team.

Author: Ronald W. Scott
Publisher: Jones & Bartlett Publishers
ISBN: 0763799106
Category : Medical
Languages : en
Pages : 296

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Book Description
Fourth Edition, is the only text to integrate coverage of the legal responsibilities of rehabilitation professionals with basic, essential advice on how to effectively document patient care activities from intake through discharge. This resource thoroughly covers the basics of documentation and includes many exemplars, cases, and forms, as well as a sample abbreviations used in rehabilitation settings. This book covers all the bases from ethics, to practical aspects of patient care documentation, to relevant and salient legal implications and illustrative case examples that will help students excel in practice.

Author:
Publisher: Lippincott Williams & Wilkins
ISBN: 9781582552804
Category : Medical
Languages : en
Pages : 452

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Book Description
The newly revised Fifth Edition of this handbook is an up-to-the-minute, authoritative guide to the legal and ethical issues faced daily by nurses. Replete with real-life examples and information from hundreds of court cases, the book covers the full range of contemporary concerns, including computer documentation, cloning, stem cell research, pain management, euthanasia, prescribing, privacy, and confidentiality as well as the nursing shortage. New topics include workplace violence and harassment, needlesticks, telephone triage, and quality assurance. A new Legal Tip logo highlights proactive, protective actions nurses can take, and an entire chapter explains step-by-step what to expect in a malpractice lawsuit.

Author: Sue Meiner
Publisher: SAGE Publications, Incorporated
ISBN:
Category : Law
Languages : en
Pages : 320

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Book Description
Focusing on the legal implications in the US, this book is designed to meet the needs of professional and student nurses in determining how they should be recording their practice.

Author: Eric Shamus
Publisher: McGraw-Hill Medical
ISBN:
Category : Medical
Languages : en
Pages : 276

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Book Description
This is a comprehensive textbook for the documentation course required in all Physical Therapy programs. The textbook incorporates current APTA terminology and covers every aspect of documentation including reimbursement and billing, coding, legal issues, PT and PTA communication, as well as utilization review and quality assurance. (Midwest).

Author: James E. Szalados
Publisher: Springer Nature
ISBN: 3030685705
Category : Medical
Languages : en
Pages : 694

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Book Description
The Medical-Legal Aspects of Acute Care Medicine: A Resource for Clinicians, Administrators, and Risk Managers is a comprehensive resource intended to provide a state-of-the-art overview of complex ethical, regulatory, and legal issues of importance to clinical healthcare professionals in the area of acute care medicine; including, for example, physicians, advanced practice providers, nurses, pharmacists, social workers, and care managers. In addition, this book also covers key legal and regulatory issues relevant to non-clinicians, such as hospital and practice administrators; department heads, educators, and risk managers. This text reviews traditional and emerging areas of ethical and legal controversies in healthcare such as resuscitation; mass-casualty event response and triage; patient autonomy and shared decision-making; medical research and teaching; ethical and legal issues in the care of the mental health patient; and, medical record documentation and confidentiality. Furthermore, this volume includes chapters dedicated to critically important topics, such as team leadership, the team model of clinical care, drug and device regulation, professional negligence, clinical education, the law of corporations, tele-medicine and e-health, medical errors and the culture of safety, regulatory compliance, the regulation of clinical laboratories, the law of insurance, and a practical overview of claims management and billing. Authored by experts in the field, The Medical-Legal Aspects of Acute Care Medicine: A Resource for Clinicians, Administrators, and Risk Managers is a valuable resource for all clinical and non-clinical healthcare professionals.

Author: Lippincott Williams & Wilkins
Publisher: Lippincott Williams & Wilkins
ISBN: 9781582555560
Category : Medical
Languages : en
Pages : 454

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Book Description
Thoroughly updated for its Second Edition, this comprehensive reference provides clear, practical guidelines on documenting patient care in all nursing practice settings, the leading clinical specialties, and current documentation systems. This edition features greatly expanded coverage of computerized charting and electronic medical records (EMRs), complete guidelines for documenting JCAHO safety goals, and new information on charting pain management. Hundreds of filled-in sample forms show specific content and wording. Icons highlight tips and timesavers, critical case law and legal safeguards, and advice for special situations. Appendices include NANDA taxonomy, JCAHO documentation standards, and documenting outcomes and interventions for key nursing diagnoses.

Author: George D. Pozgar
Publisher: Jones & Bartlett Learning
ISBN: 1284231526
Category : Law
Languages : en
Pages : 676

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Book Description
One of the most trusted resources on health care law, Legal Aspects of Health Care Administration will be available in a new Fourteenth Edition this spring. An ideal introduction to to the legal and ethical issues in the healthcare workplace, this authoritative guide explores a wide range of health care topics -- from tort reform and healthcare ethics to patient rights and managed care. Written in a comprehensible and engaging manner, this indispensable text will carefully guide your students through the complex maze of the legal system and will serve them throughout their professional lives. With over 40 years of experience as an administrator, consultant, and surveyor across 650 hospitals, author George D. Pozgar provides a uniquely accessible tool for grasping the legal complexities of health care through an array or real-life case studies, precedent-making court cases, and key statistical data.

Author: Classroom
Publisher: Concept Media
ISBN: 9781602320710
Category : Medical
Languages : en
Pages :

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Book Description
This segment focuses on the legal relevance of the medical record. It outlines basic documentation principles, and describes legally perilous charting practices. It discusses how to reduce liability when documenting difficult situations, and provides information on legal issues and computerized documentation.