Understand what the record documents
A record review can be tailored to the legal question, the volume of material, and the stage of the case. The review may address the course of care, relevant medical history, changes in condition, communication among providers, medication or treatment issues, nursing documentation, discharge planning, and the relationship between the records and the allegations under consideration.
The review remains grounded in the materials provided. Conclusions are distinguished from unresolved questions, and limitations caused by missing or incomplete documentation are identified rather than filled with assumptions.
The review may include
Identification of clinically significant events and changes in condition
Comparison of orders, medication records, nursing notes, flowsheets, laboratory data, imaging reports, and discharge documentation
Review of relevant nursing care and documentation within the consultant’s scope of expertise
Identification of internal inconsistencies, unclear entries, duplicated material, and apparent record gaps
A list of questions for counsel, additional records to consider, or specialties that may require independent expert review
Available work product
Depending on the engagement, counsel may request an oral consultation, an issue-focused written report, a record summary, a chronology, or a combination of these. Scope, priorities, deadline, and delivery format should be confirmed before the review begins.
A useful fit for
Medical malpractice, personal injury, long-term care, workers’ compensation, product-related injury, disability, life-care and damages matters, and other cases involving substantial medical documentation. Final website copy should retain only the matter types the consultant is qualified and willing to accept.
Discuss Your Case
If you need nursing insight applied to a complex medical record, contact [Business Name] to discuss the case, the available records, and the work product your legal team needs. Services are available to plaintiff and defense counsel nationwide.
Expert Legal Narratives
Transforming complex medical records into understandable legal reports.