Search the Community
Showing results for tags 'documentation'.
Hey has anyone seen this site? http://shifttales.com/ Seems interesting. They have a system for documenting issues that come up with ED visits that aren't directly related to patient care, or might be a malpractice concern in the future. Is anyone on it? Using the interface?
Just wondering if anyone has seen a really well written "seen with doctor" or "reviewed with doctor" phrase. For instance, when I am finishing a chart and I write something to the effect of "discussed with Doctor so and so who agrees with care plan", I question if there is more I can write to cover myself medically/legally. Any and all thoughts welcome.