Documentation Myths In Litigation
Dan Small and his co-author argue that the "if it wasn't charted, it wasn't done" medical heuristic is overblown and inaccurate. It is agreed that good documentation is important, but it is a poor indicator of patient care and therefore, should be omitted as evidence of such in court. This article discusses the misconceptions of chart documentation and how a good healthcare provider is measured by the quality of time spent with their patients.