If you knew that the patient could go home and look at the record you might
have a much better document, a better record of care. If he did not record
the vaccination the patient could bring it to his attention and if it were
noted that the mother died of, say, breast cancer, rather than bowel cancer,
then the patient could clarify the record. Were this to happen too
frequently then the doctor might find he lost the occasional patient.

Some of it has to do with full and frank disclosure and we need to get away
from the mentality of "It wasn't me, nobody saw me, you can't prove it".
Everybody knows that things go wrong in medicine but if you are slack then
you deserve to have your ass sued.

How many hypertensives have a target BP written in the notes? How objective
is the evidence?

David de Bhál
www.v-practice.com


-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of john hilton
Sent: Wednesday, April 26, 2006 11:46 PM
To: General Practice Computing Group Talk
Subject: Re: [GPCG_TALK] Clinical software recommendations

There is another aspect. The "quality" of medical records varies by many 
orders of magnitude, between practitioners. A GP who is meticulous in the 
recording and upkeep of records, taking care and considerable time, can be 
thwarted by another who fails to record immunisations, important history or 
diagnoses or investigations or by one who records spurious crap. Result is 
that the usefulness of the record as an accurate record is diminished.
A meticulous doctor will be able to put the record to better use in managing

the patient.
Further, a fully consumer-orientated record (with patient having permissions

to modify?) will render it effectively useless.
jh
On Wed, 26 Apr 2006 14:50, Mario Ruiz wrote:
>
> It appears that the only reason for the practitioner to own the record
> is purely medico-legal, aka ACD's (ass covering documents).  
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