A checklist of documents and evidence in malpractice

In short

This list is for putting the records in order before a malpractice allegation is discussed. The patient file, the discharge summary and the consent are not the same document. Ticking a box does not produce a finding of fault, of compensation or of a time limit. The particular facts are examined separately.

A public institution and a private institution

The application and the court route in a public hospital do not end in the same sentence as the treatment relationship in a private hospital or in a physician’s office. The nature of the institution, the name of the records unit and the later authority can change. This page does not say which court is competent. The procedure for requesting the records is in a request for the patient file. The difference between a breach of a right and a medical error is in patient rights.

How evidence is preserved

• The original paper and the digital copy are kept together.
• The original file of an image is not replaced by a screenshot alone.
• Nothing is later written on the document, and nothing is erased or cropped.
• Health data are not shared on social media.
• The period changes with the date of the event, with knowledge, and with whether the institution is public or private. There is no number of days here.

The definition is in what medical malpractice is. The meaning of consent is in informed consent. The frame of the service is on the health law page.