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ARTICLE |

Legal Aspects of Medical Records

George E. Hall
JAMA. 1965;191(10):872. doi:10.1001/jama.1965.03080100090045.
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ABSTRACT

A reader, particularly if a lawyer, might be a bit startled by one of the early sentences in the preface: "One of the purposes of this textbook is to provide a means, to the extent possible, of permitting the medical record librarian, as well as the attending physician, to avoid scrutiny of medical records based on negligence or malpractice within the hospital." Actually, these words do not mean exactly what they seem to say. There is no attempt whatsoever to teach the physician or record librarian some secret method of concealing their records from the eyes of lawyers and patients who may need them for purposes of proof in a court of law. On the contrary, every effort is made to explain just what records are kept, by whom they are to be kept, and to what extent they are valuable and may be used in an effort to help

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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