Health record has been subpoenaed
A health record has been subpoenaed and a court order accompanies it. The physician has removed important parts of the record. You know that this information is missing. The office sends you to court as the keeper of the record. You must testify about the completeness of the record. What are you going to say?
Sample Solution
When I am called to testify about the completeness of the health record that has been subpoenaed with a court order, I will be truthful and explain that certain important parts of the record have been removed. This is a serious issue as it could lead to incorrect assumptions being made regarding the patient’s medical history or misdiagnoses (Berman et al., 2018). Therefore, I will explain that it is essential for any health-care related records to include all relevant information in order to provide accurate diagnoses and treatments. Additionally, I will emphasize the need for transparency when dealing with patient records and stress how falsifying or withholding information can put patients at risk.
In regards to my own testimony, I will also explain that omissions such as these must be addressed immediately by medical professionals in order to avoid further complications (Anderson & Munglani, 2014). As such, if I am aware of any missing information from a patient’s record then it is my responsibility as the keeper of the record to alert others so that appropriate action can be taken promptly.
