---
title: Resource Library | culture of safety
description: culture of safety | The Resource Library offers a broad spectrum of resources and actionable insights to help you manage your healthcare business, increase patient safety, and help your practice thrive.
---

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# [Resource Library](https://www.norcal-group.com/library)

## [Patient Safety and Liability Risks Associated with Texting in Healthcare: Case Studies and Best Practices](https://www.norcal-group.com/library/patient-safety-and-liability-risks-associated-with-texting-in-healthcare-case-studies-and-best-practices)

 May 19, 2023

[![](https://files.norcal-group.com/hubfs/group-of-doctors-texting-at-work.jpg) ](https://www.norcal-group.com/library/patient-safety-and-liability-risks-associated-with-texting-in-healthcare-case-studies-and-best-practices)

Text messaging has changed the way we communicate with each other. Like most people, healthcare team members use their mobile devices at work,1,2,3 and texting about patients is common.4 Texting with patients and other members of the healthcare team has risks and benefits.

[Learn More »](https://www.norcal-group.com/library/patient-safety-and-liability-risks-associated-with-texting-in-healthcare-case-studies-and-best-practices) 

 Filed under: [Digital Health](https://www.norcal-group.com/library/topic/digital-health), [Patient Communication](https://www.norcal-group.com/library/topic/patient-communication), [Article](https://www.norcal-group.com/library/topic/article), [Practice Manager](https://www.norcal-group.com/library/topic/practice-manager), [Physician](https://www.norcal-group.com/library/topic/physician), [Patient Care](https://www.norcal-group.com/library/topic/patient-care), [Documentation](https://www.norcal-group.com/library/topic/documentation), [culture of safety](https://www.norcal-group.com/library/topic/culture-of-safety)

## [Unprofessional Text Messages Complicated Defensibility of a Malpractice Claim](https://www.norcal-group.com/library/unprofessional-text-messages-complicated-defensibility-of-a-malpractice-claim)

 May 19, 2023

[![](https://files.norcal-group.com/hubfs/doctor-using-mobile-phone-at-hospital.jpg) ](https://www.norcal-group.com/library/unprofessional-text-messages-complicated-defensibility-of-a-malpractice-claim)

The medical record is not the forum for blame, personal attacks, or finger pointing.1 Text messages relating to patient care should be considered part of the medical record (whether they are transferred to it or not), and the same rule about appropriateness of forum should apply. If something about patient care is important enough to be texted, it should be included in the medical record. If it is something that does not belong in the medical record, then it should not be texted. It seems clear that the members of the healthcare team texting each other in the following case study did not expect their text messages to be used against them in the malpractice lawsuit.

[Learn More »](https://www.norcal-group.com/library/unprofessional-text-messages-complicated-defensibility-of-a-malpractice-claim) 

 Filed under: [Digital Health](https://www.norcal-group.com/library/topic/digital-health), [Case Study](https://www.norcal-group.com/library/topic/case-study), [Practice Manager](https://www.norcal-group.com/library/topic/practice-manager), [Physician](https://www.norcal-group.com/library/topic/physician), [Patient Care](https://www.norcal-group.com/library/topic/patient-care), [Documentation](https://www.norcal-group.com/library/topic/documentation), [culture of safety](https://www.norcal-group.com/library/topic/culture-of-safety)

## [Contradictory Text Messages Contributed to Patient Misinterpretation of Care Instructions](https://www.norcal-group.com/library/contradictory-text-messages-contributed-to-patient-misinterpretation-of-care-instructions)

 May 19, 2023

[![](https://files.norcal-group.com/hubfs/nurse-text-messaging-on-mobile-phone.jpg) ](https://www.norcal-group.com/library/contradictory-text-messages-contributed-to-patient-misinterpretation-of-care-instructions)

Texting presents unique communication challenges. The brevity and casual nature of text communication that makes it convenient can also make it inappropriate in a healthcare setting. One key to using text messaging in healthcare is to know when an in-person or telephone conversation is necessary. Telephone conversations allow for important information to be exchanged with greater ease, and a more natural opportunity for questions and responses.

[Learn More »](https://www.norcal-group.com/library/contradictory-text-messages-contributed-to-patient-misinterpretation-of-care-instructions) 

 Filed under: [Digital Health](https://www.norcal-group.com/library/topic/digital-health), [Patient Communication](https://www.norcal-group.com/library/topic/patient-communication), [Case Study](https://www.norcal-group.com/library/topic/case-study), [Physician](https://www.norcal-group.com/library/topic/physician), [Patient Care](https://www.norcal-group.com/library/topic/patient-care), [Documentation](https://www.norcal-group.com/library/topic/documentation), [culture of safety](https://www.norcal-group.com/library/topic/culture-of-safety)

## [Poor Documentation of Text Messages Complicated Defense of a Malpractice Claim](https://www.norcal-group.com/library/poor-documentation-of-text-messages-complicated-defense-of-a-malpractice-claim)

 May 19, 2023

[![](https://files.norcal-group.com/hubfs/surgeon-texting-at-desk.jpg) ](https://www.norcal-group.com/library/poor-documentation-of-text-messages-complicated-defense-of-a-malpractice-claim)

Text messaging can provide quick, efficient communication between physicians and patients. In malpractice litigation, it can also prove physician attentiveness and responsiveness. However, text messages can complicate the defense of a malpractice claim, particularly if they are not integrated into the patient record. Consider how documentation issues unnecessarily complicated the defense in the following case.

[Learn More »](https://www.norcal-group.com/library/poor-documentation-of-text-messages-complicated-defense-of-a-malpractice-claim) 

 Filed under: [Digital Health](https://www.norcal-group.com/library/topic/digital-health), [Patient Communication](https://www.norcal-group.com/library/topic/patient-communication), [Case Study](https://www.norcal-group.com/library/topic/case-study), [Physician](https://www.norcal-group.com/library/topic/physician), [Patient Care](https://www.norcal-group.com/library/topic/patient-care), [Documentation](https://www.norcal-group.com/library/topic/documentation), [culture of safety](https://www.norcal-group.com/library/topic/culture-of-safety)

## [Deleted and Forgotten Text Messages Used to Impeach Testimony](https://www.norcal-group.com/library/deleted-and-forgotten-text-messages-used-to-impeach-testimony)

 May 19, 2023

[![](https://files.norcal-group.com/hubfs/surgeon-texting-outside-the-operating-room.jpg) ](https://www.norcal-group.com/library/deleted-and-forgotten-text-messages-used-to-impeach-testimony)

Some electronic health record (EHR) systems do not offer integrated texting apps, which can lead to the use of texting apps that require a separate process to transfer texts to the patient record. Unfortunately, text messages frequently do not find their way into the record.

[Learn More »](https://www.norcal-group.com/library/deleted-and-forgotten-text-messages-used-to-impeach-testimony) 

 Filed under: [Digital Health](https://www.norcal-group.com/library/topic/digital-health), [Case Study](https://www.norcal-group.com/library/topic/case-study), [Physician](https://www.norcal-group.com/library/topic/physician), [Patient Care](https://www.norcal-group.com/library/topic/patient-care), [Documentation](https://www.norcal-group.com/library/topic/documentation), [culture of safety](https://www.norcal-group.com/library/topic/culture-of-safety)

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