"These findings raise the possibility that some documentation may not accurately represent physician actions." Interesting study, unsurprising (to me, at least) conclusion.https://twitter.com/JAMANetworkOpen/status/1175213052104454144 …
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Though I have to imagine an inaccurate templated exam hurts more than no exam (such as documenting intact cranial nerves in a patient who has had a stroke).
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not a lawyer but it seems documenting a negative HINTS exam for example on someone you discharged who ended up having a stroke might be protective in showing you did some diligence in workup...?
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