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Multiple Choice

Your documentation stated that the patient was obviously drunk on arrival, but later hypoglycemia was diagnosed. Your documentation should be considered which of the following?

In medical documentation, making a false statement about a patient that harms their reputation is defamation, and when that statement is written in the chart, it’s libel. Here, noting that the patient was “obviously drunk on arrival” and later diagnosing hypoglycemia is a written claim about the patient’s condition. If that claim is false and injures the patient’s reputation, the written form qualifies as libel. The broader term defamation could apply, but the written nature makes libel the precise category. Slender would apply only to spoken statements, which isn’t the case here, and malpractice refers to professional negligence in care rather than the publication of false statements in records.

In medical documentation, making a false statement about a patient that harms their reputation is defamation, and when that statement is written in the chart, it’s libel. Here, noting that the patient was “obviously drunk on arrival” and later diagnosing hypoglycemia is a written claim about the patient’s condition. If that claim is false and injures the patient’s reputation, the written form qualifies as libel. The broader term defamation could apply, but the written nature makes libel the precise category. Slender would apply only to spoken statements, which isn’t the case here, and malpractice refers to professional negligence in care rather than the publication of false statements in records.