The importance of the hospital medical chart in a medical malpractice case is well known. This article gives hospitals and their medical records directors guidance on what should and should not appear in the patient's medical chart.
The following discussion was presented by the late Mr. Levine, one of the country's most successful malpractice lawyers, during a series of lectures on medical malpractice. It is an invaluable, no-holds-barred introduction for administrators, risk management directors, physicians and attorneys to the real world of malpractice litigation. Part One of this article appeared in the October 1979 issue of this journal.
Within the control of hospital management is the capability of reducing malpractice claims through better employee and patient communications. Promises of successful treatment, billing charges and medical procedures that are unexplained, unfamiliarity of hospital management with what constitutes hospital liability, and wrong use of informed consent forms are among the factors that increase chances of bein sued for malpractice.