{"id":2067,"date":"2018-01-03T17:00:07","date_gmt":"2018-01-04T01:00:07","guid":{"rendered":"https:\/\/phcprimarycare.org\/?p=2067"},"modified":"2018-01-03T17:00:07","modified_gmt":"2018-01-04T01:00:07","slug":"and-now-for-something-completely-different-3","status":"publish","type":"post","link":"https:\/\/phcprimarycare.org\/?p=2067","title":{"rendered":"And Now for Something Completely Different"},"content":{"rendered":"

By Jeff Ribordy M.D., Regional Medical Director<\/strong><\/p>\n

As medical directors at Partnership HealthPlan of California, we are honored to review an array of medical records, treatment authorization requests and sundry other medical documentation on a daily basis. Every so often we encounter documentation that makes us scratch our heads and entices a chuckle. Here are some of the best-<\/em><\/span><\/p>\n

Before the current \u201cGolden Age\u201d where everyone has an EHR and now loves charting endlessly (sarcasm intended) there were these things called \u201cmedical errors\u201d. I know it\u2019s hard to fathom, doctors making mistakes, but it\u2019s not just fake news. Most of the \u201cerrors\u201d were typically related to undecipherable hieroglyphics known as \u201cdoctors\u2019 handwriting\u201d leading to medication mistakes or other orders either being ignored or completed incorrectly.<\/p>\n

While typed or dictated notes now allow legibility, comprehension can still be a struggle. Whether from stream of consciousness HPIs, dictation errors or excessive reliance on standard templates without reviewing, errors still are found. In our review of submitted medical records we have found a few mistakes that make us chuckle or even laugh out loud. I\u2019m going to share some of these here \u2013 not to point fingers but with the understanding we all have made similar mistakes.<\/p>\n

Sometimes we have to take a patient\u2019s history with a grain of salt\u2026<\/strong><\/p>\n

\"Fig<\/a><\/p>\n

From the category of \u201cHow Do You Find The Time To Do Anything Else\u201d:<\/strong><\/p>\n

\"Fig<\/a><\/p>\n

\u00a0<\/strong>From the Physical Exam:<\/strong><\/p>\n

\"Fig<\/a><\/p>\n

Family history can be\u2026very revealing:<\/p>\n

\"fig<\/a><\/p>\n

And from the Catch-All category of \u201cHuh?\u201d:<\/p>\n

\"fig<\/a><\/p>\n

And good advice for everyone:<\/p>\n

\"fig<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

By Jeff Ribordy M.D., Regional Medical Director As medical directors at Partnership HealthPlan of California, we are honored to review an array of medical records, treatment authorization requests and sundry other medical documentation on a daily basis. Every so often … Continue reading →<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2067","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"\nAnd Now for Something Completely Different - PHC Primary Care Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/phcprimarycare.org\/?p=2067\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"And Now for Something Completely Different - PHC Primary Care Blog\" \/>\n<meta property=\"og:description\" content=\"By Jeff Ribordy M.D., Regional Medical Director As medical directors at Partnership HealthPlan of California, we are honored to review an array of medical records, treatment authorization requests and sundry other medical documentation on a daily basis. 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