TY - BOOK AU - Quinn,Campion TI - The medical record as a forensic resource SN - 0763727598 (pbk.) AV - R 864 .Q55 2005 PY - 2005/// CY - Sudbury, Mass. PB - Jones and Bartlett Publishers KW - Medical records KW - Access control KW - United States KW - Law and legislation KW - Medical jurisprudence KW - Forms and Records Control KW - methods KW - Forensic Medicine KW - Medical Records KW - legislation & jurisprudence N1 - Includes bibliographical references and index; What is the medical chart -- Acquiring the medical record / Karen Fielder -- Authorization for Release of medical information -- Determining what is missing from the medical chart -- How to examine the medical chart -- Face sheet -- Consent forms -- Living will/Power of attorney -- Pre-admission records -- Ambulance call report -- Emergency department record -- Admission note -- Physician order sheet -- Progress note -- Consultation note -- Anesthesia note -- Procedure note -- Discharge summary -- Radiology report -- Laboratory and pathology reports -- Autopsy report -- Nursing notes -- Medical policies -- Incident reports -- Medication errors / Kim Zammit -- The medical chart as evidence / Edward Birnbaum and Carl Grasso -- Tampering or falsification? -- Malpractice basics -- Pain and suffering -- Personal injury claims UR - http://www.loc.gov/catdir/toc/ecip0419/2004013530.html ER -