Medical Documentation

0636_PAMF_Empowering Clinicians and Enhancing Patient Outcomes: The Critical Role of Medical Chart Documentation and Informed Consent_Live

May 14, 2025

Description

This course focuses on improving clinical documentation practices to enhance patient safety and reduce the risk of legal issues. It covers key strategies for accurate and thorough documentation, helping clinicians avoid potential lawsuits and ensure optimal patient care outcomes.

Target Audience

Nurse Practitioner (NP)

Nurse, Registered (RN)

Physicians (MD or DO)

Physician Assistant (PA)

Learning Objectives

After this activity learners should be able to:

1) Identify the best documentation practices which can enhance patient safety

2) Review how best practices in documentation can decrease medical malpractice

3) Discuss key strategies for accurate and thorough documentation.

Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit

    Physician Credit 

    Sutter Health designates this Live activity for a maximum of 1.00 AMA PRA Category 1 Credit™ for physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

     

  • 1.00 Non-Physician Participation Credit

    Sutter Health designates this Live activity for a maximum of 1.00 Non-Physician Participation Credit. Non-Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    AMA PRA Category 1 Credits HOURS™ Continuing Medical Education is acceptable for meeting the continuing education requirements for Pharmacists, Physician Assistants, Psychologists, Registered Nurses, and Respiratory Care Practitioners. For other disciplines, please check with the regulatory board for your discipline to confirm what type of credits meet the continuing education requirements. Continuing education hours for nurses accredited by ANCC, via Joint Accreditation.

     

  • 1.00 ANCC

    Nursing Credit - American Nurses Credentialing Center (ANCC) 

    Sutter Health designates this Live activity for a maximum of 1.00 ANCC contact hour(s). Nurses should claim only the credit commensurate with the extent of their participation in the activity.

     

  • 1.00 CA BRN

    Nursing Credit - California Board of Registered Nursing (CA BRN)
    This activity is approved for 1.00 contact hour(s) by Sutter Health, which is an approved provider by the California Board of Registered Nursing. (Provider Number 17182). Nurses should claim only the credit commensurate with the extent of their participation in the activity.

Course opens: 
05/14/2025
Course expires: 
10/31/2025
Event starts: 
05/14/2025 - 5:30pm PDT
Event ends: 
05/14/2025 - 6:30pm PDT
Rating: 
0

Assembly Bills 1195 & 241- Culturally Appropriate Care which is Free of Implicit Biases:

Learners are strongly encouraged to engage in self-directed learning related to the impact of implicit biases in this clinical area via the references provided below:

Social Determinants of Health: 

Ivy ZK, Hwee S, Kimball BC, Evans MD, Marka N, Bendel C, Boucher AA. Disparities in Documentation: Evidence of Race-Based Biases in the Electronic Medical Record. J Racial Ethn Health Disparities. 2024 Aug 19:10.1007/s40615-024-02132-8. doi: 10.1007/s40615-024-02132-8. Epub ahead of print. PMID: 39160431; PMCID: PMC11836187.

Disclosure of Financial or In-Kind Commercial Support & Conflict of Interest

No one involved in the planning or presentation of this educational activity have any relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. No financial or in-kind commercial support was received to produce or promote this educational activity. 

– Provider Designee/Verification:  Kerri Maya, MSL, RN

Planner(s)

Rosemary Bayan, PAFMG Risk Administrative Assistant, Planner

has no relevant financial relationships to disclose at this time.

Chung-Ih Chou, MD, MBA, CPHRM

has no relevant financial relationships to disclose at this time.

Tascha Haut, J.D., BSN

has no relevant financial relationships to disclose at this time.

Duyen Tran, AINS

has no relevant financial relationships to disclose at this time.
Speaker(s)

Kara Knowles

has no relevant financial relationships to disclose at this time.

In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.

 

Credit Designation Statement

Sutter Health designates this LIVE activity for a maximum of 1 AMA PRA Category 1 Credits™ for physicians and 1.00 continuing professional development contact hours for nurses. Learners should claim only the credit commensurate with the extent of their participation in the activity.

Note to Other DisciplinesAMA PRA Category 1 Credits HOURS™ Continuing Medical Education is acceptable for meeting the continuing education requirements for Pharmacists, Physician Assistants, Psychologists, Registered Nurses, and Respiratory Care Practitioners. For other disciplines, please check with the regulatory board for your discipline to confirm what type of credits meet the continuing education requirements. Continuing education hours for nurses accredited by ANCC, via Joint Accreditation.

 

Attendance & Credit Claiming

Complete the assigned Attendance Attestation Form when assigned and proceed through all remaining course objects required for CE credit claiming.

Available Credit

  • 1.00 AMA PRA Category 1 Credit

    Physician Credit 

    Sutter Health designates this Live activity for a maximum of 1.00 AMA PRA Category 1 Credit™ for physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

     

  • 1.00 Non-Physician Participation Credit

    Sutter Health designates this Live activity for a maximum of 1.00 Non-Physician Participation Credit. Non-Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    AMA PRA Category 1 Credits HOURS™ Continuing Medical Education is acceptable for meeting the continuing education requirements for Pharmacists, Physician Assistants, Psychologists, Registered Nurses, and Respiratory Care Practitioners. For other disciplines, please check with the regulatory board for your discipline to confirm what type of credits meet the continuing education requirements. Continuing education hours for nurses accredited by ANCC, via Joint Accreditation.

     

  • 1.00 ANCC

    Nursing Credit - American Nurses Credentialing Center (ANCC) 

    Sutter Health designates this Live activity for a maximum of 1.00 ANCC contact hour(s). Nurses should claim only the credit commensurate with the extent of their participation in the activity.

     

  • 1.00 CA BRN

    Nursing Credit - California Board of Registered Nursing (CA BRN)
    This activity is approved for 1.00 contact hour(s) by Sutter Health, which is an approved provider by the California Board of Registered Nursing. (Provider Number 17182). Nurses should claim only the credit commensurate with the extent of their participation in the activity.

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