Managing Documentation Risk : A Guide for Nurse Managers

CONTENTS:
Key aspects of nursing documentation: what every nurse manager needs to know -- Your documentation: truth, or consequences? Reducing risk and culpability through defensive documentation -- Contemporary nursing practice: are you and your staff there? -- Functions of the medical record: the effects of staff documentation on compliance, quality, and reimbursement -- Nursing negligence: understanding your risks and culpability -- Depositions: preparing for the worst -- Improving staff documentation: recognizing and correcting charting mistakes that increase your liability risks -- Developing a foolproof documentation system: building on the foundation of compliance standards -- Auditing your documentation system: the important role audits play in protecting you and your organization -- computerized medical records: the future is here: a nurse manager's role in Buildinga computerized system that reduces liability -- Motivating your nurses to document completely and accurately: strategies for nurse managers.