MikeA legal AI workspace for medical malpractice firms
Medical malpractice firms use Mike to read charts, nursing notes and imaging reports, build timelines of care, and draft case evaluations and expert questions. Every statement links to the page of the record it came from, so an attorney can verify it before it goes to a reviewing expert.
Updated
Attorney: Build a timeline of Mr. Okafor's emergency visit from the chart and flag any gap between the troponin result and the cardiology consult.
Mike: The first troponin resulted at 9:42 p.m. and was flagged abnormal [1]. The physician note recording a cardiology consult is timed 12:15 a.m., about two and a half hours later [2]. The nursing log shows no call placed in between [3]. I built the timeline and marked that interval for the expert questions.
- [1] Lab results, p. 118
- [2] ED physician notes, pp. 41 to 43
- [3] Nursing log, p. 77
Mike created Okafor timeline and expert questions.docx.
Example matter. Names and documents are fictional.
A malpractice file is heavy with records and light on time. Hospital charts run to thousands of pages, entries are written by many hands, and the question that decides the case is often a single order that was given late or never given at all. Mike reads the whole chart and keeps track of who documented what, and when.
Cuanto Labs sets Mike up against your case folders, loads your intake checklists and expert request letters, and builds the chart review columns with your nurse consultants. Chart contents stay inside your firm's own installation.
What Mike does for your practice
- Timelines of care
- Mike reads the full chart and builds a dated timeline of presentation, orders, results, consults and handoffs, with each entry linked to the page it came from. Entries where the time of an order, a result and a response do not line up are flagged for the attorney.
- Standard of care questions for experts
- Once the timeline is settled, Mike drafts the questions you want a reviewing physician to answer, grouped by provider and by decision point. The draft arrives as a Word document, and you edit it before anything is sent.
- Case screening from intake
- Upload the intake form and the first set of records, and Mike summarizes what happened, which providers were involved, what the injury is, and which records are still missing. Attorneys decide whether the case goes to expert review.
- Chart comparison across versions
- When a chart is produced twice, or an audit trail is produced after the chart, Mike compares the versions and lists entries that were added, changed or timed differently, so the attorney can see exactly what moved.
- Medical literature and case law research
- Mike searches published case law on the questions your claim turns on, such as causation, informed consent or the form of an expert affidavit, and reads the opinions before summarizing them. Research sources your firm subscribes to can be connected during setup.
- Deposition outlines
- Mike compares a physician's chart entries, prior testimony and discovery responses, and lists the points where they diverge with the page and line for each, so outlines start from the record.
- Damages and future care
- From life care plans, bills and treatment notes, Mike assembles a damages summary in your firm's format and keeps every figure tied to the document it came from.
How we set it up for your firm
- Records request and intake forms
- We load the intake questionnaire and the records request letters your firm sends to hospitals and practices, so a new matter starts with a consistent list of what to collect.
- Expert request and evaluation memos
- We load your expert request letters and case evaluation memos, so drafts come back in the format your reviewing physicians already receive.
- Chart review fields
- We build tabular review templates that pull the same fields from every note, order and result, such as author, role, time and content, so a chart becomes a sortable table.
- Order and result timing workflow
- A saved workflow lists each order with the time it was placed, resulted and acted on, so late or missing responses stand out for the attorney.
- Medical literature and standards sources
- Where your firm subscribes to medical literature or standards sources, we connect them during setup. Mike does not hold them on its own.
Questions attorneys ask
Can Mike handle a chart with thousands of pages?
Yes. Mike reads documents in a matter and searches across all of them, and tabular review lets it pull the same fields from every note or order into a table. Very large productions take longer to process, and pages that cannot be read are reported as unreadable rather than guessed at, so a person can look at them.
Does Mike decide whether the standard of care was breached?
No. That judgment belongs to the attorney and the reviewing expert. Mike organizes the record, shows where the documented facts raise questions, and drafts the questions you may want to put to an expert. Every statement links to its source page so the attorney can confirm it. If you want a second look at a point, ask Mike to list every chart entry that touches it and read them in order.
Can Mike tell which provider wrote a chart entry?
It reads author, role and timestamp wherever the chart records them and keeps them as columns in the review table, so you can sort a chart by who documented what. Where an entry is unsigned or the signature is illegible, the cell is left marked rather than guessed. Identifying an unknown signer is work for the attorney or the records custodian.
Can Mike compare the chart to the audit trail?
If both documents are in the matter, Mike can read them side by side and list entries whose times, authors or contents differ. It reports differences and where they appear. What the differences mean is for the attorney, and sometimes for a forensic specialist, to decide. Ask it to limit the comparison to a window of hours, such as the period around a deterioration, if the full audit trail is too large to review at once.
Will it work with the way we already run expert review?
We load your own request letters, evaluation memos and chart review checklists during setup, so Mike produces drafts in the formats your firm and your experts already use. Output comes as Word documents, and revisions to existing files appear as tracked changes. If your experts prefer a particular question format or exhibit list, we build it into a saved workflow so every new case starts the same way.
Can Mike prepare a records summary for a reviewing expert?
Yes. It drafts a summary of presentation, orders, results and course of care in the format your firm uses, with each statement linked to the chart page. The expert then works from the summary and the pages together. Mike does not offer opinions on care. It organizes the record that the opinion will rest on.
Related
Bring Mike to your firm.
Book a 30-minute call. Tell us about your practice and the systems your documents live in, and we'll come back with a setup plan for your firm.
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