Keeping Good Medical Notes

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How to write in the medical notes | The BMJ

https://www.bmj.com/content/353/sbmj.h5703

Good notes facilitate communication between doctors, nurses, and all the allied health professionals involved in the care of …

Getting Your Notes Done on Time | AAFP

https://www.aafp.org/pubs/fpm/issues/2016/0300/p40.html

Leverage the skills of your team members. You don't have to document everything yourself. …

The Art of Writing Patient Record Notes - American …

https://journalofethics.ama-assn.org/article/art-writing-patient-record-notes/2011-07

Good notes facilitate continuity of care, since many physicians gather background information in the electronic medical record (EMR) prior to meeting a new patient. In a …

Medical record keeping: clarity, accuracy, and timeliness …

https://www.bmj.com/content/348/bmj.f7716

Medical record keeping: clarity, accuracy, and timeliness are essential Low priority. Despite this importance, medical record keeping is often given a low priority. …

Writing an Effective Patient Note with Documentation …

https://www.himss.org/resources/writing-effective-patient-note-documentation-guidelines

On the record: the importance of keeping good medical …

https://www.avant.org.au/news/20131128-importance-good-medical-notes/

Historically, the purpose of a medical record was to aid a doctor’s memory. Times have changed, as have the perceptions and expectations of patients, as well as …

10 keys to good patient-centred record keeping | Medical …

https://www.mcnsw.org.au/10-keys-good-patient-centred-record-keeping

10 keys to good patient-centred record keeping. The conversation with my new registrar goes something like this: I deliver my lecture about the importance of good record-keeping and put on my …

Good Medical Record Keeping | Insight Medical Publishing

https://internalmedicine.imedpub.com/good-medical-record-keeping.php?aid=6129

1) The patient’s complete medical record should be available at all times during their stay in hospital 2) Every page in the medical record should include the patient’s name, hospital …

Keeping records - ethical guidance summary - GMC

https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/protecting-children-and-young-people/keeping-records

Keeping records - ethical guidance summary - GMC Home Ethical guidance Ethical guidance for doctors Protecting children and young people Keeping records Protecting …

The legal importance of good medical records - Articles

https://www.medicalprotection.org/uk/articles/the-legal-importance-of-good-medical-records

Health professionals are also urged by medicolegal consultants to familiarise themselves with the GMC's Good Medical Practice, which dictates that all documents …

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