Outpatient Surgery Magazine - Subscribers

Clear Cut - July 2015 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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4 3 J U LY 2 0 1 5 | O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E detailed procedure note so the entire record retains credibility. While detailed notes are important, your EMR templates also play a role in your success. Many EMRs have "normal" screens that are easy to fill out. To record any abnormalities, they may need to use a pop-up screen or drop-down menu. To combat this, work with your EMR ven- dor to make your system as intuitive to use as possible. Also make sure staff and physicians are well-trained not only in how to use the "normal" templates, but also the additional screens and pop-ups. Encourage them to freely enter detailed text for each patient. Don't mess up I'm often asked what to do to avoid being sued. Other than the wise- guy answer of "don't mess up," consider what ethical actions you can take now to make defending a medical malpractice case easier. Basically, that comes down to being very familiar with your EMR sys- tem and always creating an accurate chart that clearly documents all of the unique findings for each patient. OSM Dr. Molinaro (pmolinaro@fransenandmolinaro.com) is a practicing physician and an attorney at Fransen & Molinaro in Corona, Calif.

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