Future Healthcare

For the record

Record-keeping is an issue widely discussed, the subject of much advice and guidance, but doctors regularly get it wrong. Amie Roadnight has five suggestions to help.

It is important that records are accurate, not only to ensure safe and appropriate patient care, but also as a safeguard for you if things go wrong. 

After all, your records are – or should be – a first-hand, contemporaneous account of your appoint­ment with the patient and therefore, arguably, the most reliable source of evidence as to what happened.  

The following five points are some suggestions you might want to consider for your records: 

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