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). _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk -- No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.1.385 / Virus Database: 268.4.6/324 - Release Date: 4/25/2006 -- No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.1.385 / Virus Database: 268.4.6/324 - Release Date: 4/25/2006 _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
