MPS advises GP Registrars on Good Medical Records
Country of origin: UK
The issue focuses on keeping good medical records and provides a reminder of some of the basic principles, highlighting potential pitfalls and giving guidance on avoiding them.
Questions relating to medical records are a common reason for members to call MPS. In the last six months, GPs asking for advice on writing reports or providing access to records accounted for almost 20% of all calls.
Dr Alison Metcalfe, senior medicolegal adviser at MPS, said: ?Clear and comprehensive medical records are an essential part of good medical practice. Medical notes should allow a health professional to reconstruct a previous consultation with the patient.
In a busy GP surgery, where patients can see a number of different health professionals or be referred to colleagues in secondary care, it is essential that records are accurate and up-to-date.
Good medical notes are indispensable in responding to complaints and claims and are increasingly valuable in improving standards of patient care.?
The edition of GP Registrar is available online.
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