OUM Chiropractor Insights

How Can Providers Navigate Informed Consent & Informed Refusal?

Nov 4, 2026, 3:12:32 PM / by OUM Risk Management Specialist posted in Frequently Asked Question

Short Answer

Informed consent is an ongoing discussion between the provider and patient that helps the patient understand a proposed treatment or procedure, its potential risks and benefits, reasonable alternatives, and the potential consequences of non-treatment. When a patient refuses recommended care, providers should follow a similar informed refusal process by explaining the risks of refusal, discussing alternatives, and documenting the conversation and the patient’s decision in the medical record.

How Should You Handle Missed or Canceled Appointments?

Oct 1, 2026, 7:00:04 AM / by OUM Risk Management Specialist posted in Frequently Asked Question

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Short Answer

Missed and canceled appointments should be documented in the patient's medical record. It is prudent for the healthcare practitioner, or advanced practice provider (APP), to review all missed or canceled appointments. The results of that review should dictate any indicated follow-up measures. All follow-up efforts should be documented in the medical record.

What Are the Risks of Copying & Pasting Patient Notes or Using Templates?

Sep 1, 2026, 7:00:01 AM / by OUM Risk Management Specialist posted in Frequently Asked Question

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Short Answer

Templates are valuable tools for enhancing the efficiency of documentation, but it is essential to ensure that each template utilized incorporates all required elements, and efforts should always be made to customize the documentation of each patient encounter.

How Do I Correct an Error in a Patient's Medical Record?

Aug 1, 2026, 7:00:00 AM / by OUM Risk Management Specialist posted in Frequently Asked Question

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Short Answer

There are valid instances when correction of an erroneous entry, late entries of necessary clinical information, addendums to prior entries, or amendments to the medical record need to occur. In these instances, appropriate steps should be taken to clearly document who made the entry, when the entry was made, and why the entry was made.

How Can Providers Navigate Informed Consent & Informed Refusal?

Short Answer

How Should You Handle Missed or Canceled Appointments?

Short Answer

What Are the Risks of Copying & Pasting Patient Notes or Using Templates?

Short Answer

How Do I Correct an Error in a Patient's Medical Record?

Short Answer

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