How to Produce High Quality Medical Summaries

Medical records summary service is of pertinent use to Personal Injury and Medical Malpractice law firms. A well prepared medical record summary service save times by organizing medical records in a concise chronological manner facilitating easy assimilation. It can also help in determining whether a patient is being provided proper treatment for his/her ailment. In the legal field, it can help assess the merits and demerits of a case. The summary service would be useful if it helps scrutinize deviations or negligence from the standards of care, questionable happenings, particular areas requiring attention and pre-existing states that could have a bearing on the case.

What goes into a medical summary?

A medical summary is a concise version of the information found in a patients medical records. Arrangement and extensive research of the medical records such as progress notes, consultation notes, physicians notes, and operating room records is done to prepare the summary. Information that may be included in this form of a summary includes: the cause of injury or accident, entry into and discharge from the hospital, immediate and ensuing care given, what diagnostic testing revealed, present diagnoses/assessment, medical expenditure and negligence on the part of the provider, of any.

Types of medical summaries:

Medical summaries (or medical chronologies) can be:

A subject matter expert reviewer with medical education can add value to a narrative medical summary by bringing in deeper understanding of medical terminologies and procedures pertaining to the case at hand.

Salient Features of a medical summary report:

Accurate data capture from handwrittentext.

What goes into the good medical summary report?

i. Emergency room visit and Hospital stay

ii. Patients personal information

iii. Entry into and discharge from thehospital

iv. Immediate and ensuing care given

v. Medications provided and those in use

vi. Information concerning the injury or illness

vii. Opinions of medical professionals with regard to causation, appointment, and disability

viii.Diagnostic test results.

ix. Surgical reports.

x. Physical therapy, Occupational therapy,

speech-language therapy reports.

xi. Independent Medical Evaluation Reports

(IME).

xii. Medical citations where applicable

Recommended tips for a reviewer:

Here are some recommended practices for a reviewer to produce a high quality medical summary:

In conclusion - Underlining quality:

With these tips, you can go ahead and produce a quality output. You need to bear in mind the importance of data security as you are handling sensitive data. It is also worthwhile reiterating that quality and diligence are of paramount importance in producing a good medical summary. The value of cases usually hinges on few key points that originate from the medical records. Hence reviewer is responsible not to miss any finer details and prepare the report with an unbiased and objective eye.

Author is an expert technical writer for legal Process outsourcing websites who specializes in Medical Summaries article writing. Now Please visit authors link Medical Summaries

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