Effectiveness of a medicolegal lecture on risk-reduction medical record documentation by pediatric residents

To determine the effectiveness of a medicolegal lecture on risk-reduction documentation by residents in a pediatric emergency department. Pediatric residents at an academic children's hospital were offered a 1-hour lecture on reducing medicolegal risks. Residents in attendance made up the inter...

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Bibliographic Details
Published inClinical pediatrics Vol. 53; no. 5; p. 479
Main Authors Otillio, Jaime K, Park, Daniel B, Hewett, Kathryn M, Losek, Joseph D
Format Journal Article
LanguageEnglish
Published United States 01.05.2014
Subjects
Documentation
Female
Humans
Internship and Residency
Jurisprudence
Male
Medical Records
Pediatrics - education
Risk Reduction Behavior
United States
United States
risk management
resident curriculum
medicolegal education
risk-reduction
documentation
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Summary:To determine the effectiveness of a medicolegal lecture on risk-reduction documentation by residents in a pediatric emergency department. Pediatric residents at an academic children's hospital were offered a 1-hour lecture on reducing medicolegal risks. Residents in attendance made up the intervention group (IG) and nonattendants were the control group (CG). The primary outcome was risk-reduction documentation (RRD) using patients with chief complaints of abdominal pain, extremity fractures, and lacerations with potential foreign body. For abdominal pain patients, RRD by IG improved 6.1% compared with 15.1% for the CG. For fracture patients, RRD by IG improved 20% compared with 26.5% decrease by CG. For laceration patients, RRD by IG decreased 20.8% compared with 30.6% decrease by CG. Although none reached statistical significance, the postintervention IG rates were greater. We showed a trend toward improvement in the rate of risk-reduction medical record documentation.
ISSN:1938-2707
DOI:10.1177/0009922814527500