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The Medical Record as a Forensic Resource

Author(s): Campion E. Quinn, MD, MHA, President, Quinn & Associates Medical Consultants
Details:
  • ISBN-13: 9780763727598
  • ISBN-10:0763727598
  • Paperback    277 pages      © 2005
Price: International Sales $93.95 US List
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Overview

The Medical Record as a Forensic Resource describes what a medical record is, what it should contain and how to acquire, review, and report on its content. It contains valuable information on the basics of malpractice and personal injury litigation as well as how the medical chart review can be integral to the proper adjudication of a case. A must for anyone working in the legal field, this book will also educate readers without a legal background on the basics of malpractice and personal injury law.

Filled with sample clinical notes, test results, physician and nurse reports, and checklists to assure completeness.

ShowTable of Contents

     Introduction
     Table of Contents
1.  What is the Medical Chart?
2.  Acquiring the Medical Chart
3.  Release of Medical Records
4.  Determining What is Missing From the Medical Chart
5.  How to Examine the Medical Chart
6.  Fact Sheet
7.  Consent Forms
8.  Living Will
9.  Pre-admission Records
10.  Ambulance Call Report
11.  Emergency Department Record
12.  Admission Note
13.  Physician Orders
14.  Progress Note
15.  Consultant’s Note
16.  Anesthesia Note
17.  Procedure Note
18.  Discharge Summary
19.  Radiology Report
20.  Laboratory Report
21.  Autopsy Report
22.  Nursing Note
23.  Medical Policies
24.  Incident Reports
25.  Medication Errors
26.  The Medical Chart as Evidence
27.  Tampering with the Medical Record
28.  Malpractice Issues
29.  Pain and Suffering
30.  Personal Injury Cases
31.  Appendix 1 – Medico-legal Terminology
32.  Appendix 2 – Medical Abbreviations
33.  Appendix 3 – Medical Chart Check Lists
       3.1 – Physician Office Chart
       3.2 – Hospital Chart
       3.3 – Clinic Chart
       3.4 – Missing Items Checklist


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ShowAbout the Author(s)

Campion E. Quinn, MD, MHA-President, Quinn & Associates Medical Consultants

Dr. Campion Quinn is a board certified internist and geriatrician working in New York.

Additional Titles by this Author

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ShowReviews

  • "What a fabulous addition to both the medical and the legal fields. Readers will be fortunate to come upon such a detailed and highly useful resource. Definitely recommended reading for all those in medicine and in law. Make room on your shelf for this one!"

    —Nicholas Greco IV, M.S., C.A.T.S.M., C.C.R.A.
    Abbott Laboratories
    Doody’s Book Review Service
    January 2006

     

     

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ShowAppropriate Courses

Certification course in Legal Nurse Consulting
Paralegal course in medical cases
Law school course in medical malpractice
Law school course in personal injury

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