„… was nicht dokumentiert ist, ist nicht gemacht!“ Dokumentation: Lästige Pflicht, aber wichtiges Beweismittel

Wittmann, Sigrid and Radke, O. and Heller, A. R. (2024) „… was nicht dokumentiert ist, ist nicht gemacht!“ Dokumentation: Lästige Pflicht, aber wichtiges Beweismittel. ANASTHESIOLOGIE & INTENSIVMEDIZIN, 65. pp. 129-136. ISSN 0170-5334, 1439-0256

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Abstract

Physicians are required by law to pro vide adequate documentation. Diagnostic findings and measures that are not documented are considered as not existent or not carried out. Those who are responsible for their patients will open themselves up to avoidable litigation risks if they fail to provide adequate do cumentation. This article summarises the most important aspects of the German laws pertaining to medical documentation and includes valuable suggestions for daily practice.

Item Type: Article
Uncontrolled Keywords: Patient Records; Treatment Documentation; Legal Storage Periods; Right Of Inspection
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Anästhesiologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 16 Dec 2025 07:55
Last Modified: 16 Dec 2025 07:55
URI: https://pred.uni-regensburg.de/id/eprint/64405

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