Common Errors in Medical Record Management in Maryland and Washington, D.C.: A Hidden Threat to Patient Safety

Medical records are the backbone of patient care. Accurate documentation allows doctors to make informed decisions, coordinate treatment, and avoid dangerous mistakes. However, when records are mismanaged, the risks to patient safety multiply. In Maryland and Washington, D.C., errors in handling medical histories are increasingly concerning—not just for their clinical impact, but for their legal implications as well.

Frequent Errors and Common Causes

Among the most common issues are missing data, outdated or duplicated information, and manual input errors. According to the National Library of Medicine, many of these problems stem from information overload, lack of interoperability between systems, and insufficient training for healthcare professionals.

In Washington, D.C., ECRI Institute’s annual report noted that pressure ulcers are reported more often than medication errors or falls, suggesting documentation and follow-up process gaps. In Maryland, adverse events in hospitals reached a record high of 769 cases in 2022, according to The Washington Post—highlighting the broader issue of record mismanagement.

Legal and Clinical Consequences

Errors in medical records can lead to misdiagnosis, delayed treatment, and worsening of the patient’s condition. In Maryland and Washington, D.C., patients may pursue legal action if they demonstrate that a record-related error caused preventable harm. Furthermore, altering or manipulating medical records may result in license revocation or criminal charges, as outlined by legal sources.

Recommendations for Patients and Healthcare Providers

To reduce these risks, healthcare professionals should implement strict review protocols and ensure ongoing training in electronic record systems. Patients are encouraged to request copies of their records, review them for accuracy, and report any discrepancies.

In resume, medical record errors are not just administrative oversights—they can seriously endanger patient lives and result in legal action. Both patients and professionals must prioritize accurate and secure documentation. If you or a loved one has suffered harm due to poor record management, Stecco Law is here to help. Contact us for a free consultation today, and let us fight for your rights.