These cases are built through evidence, not assumptions, and the medical record usually provides the starting point. Important evidence can include hospital and physician records, nursing notes, diagnostic imaging, laboratory and pathology results, operative reports, medication records, patient monitoring data, discharge instructions, and communications between providers.
Records can help reconstruct what providers knew and when they knew it, and what treatment was ordered, delayed, changed, or never provided. Expert review can be especially important, and Michigan has specific requirements governing experts who testify about the applicable standard of care.
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