I would dearly like the request notepad facility available and would expect
that all modern commercial LIMS have one. Recording the solicited opinion
would seem to be even more important than the comments we volunteer at the
signing desk.
At the FOCUS2003 symposium on clinical risk management the lawyer (a QC)
reminded us that it may be several months after the event before a patient
complaint is presented and well over a year before litigation comes to
court. The only hope for the healthcare professional to recall what happened
is from the patient's notes. Our colleagues on the wards have them readily
to hand to complete, although as we all know the standard of notes can be
poor. Whilst I would hope we need not divert endless hours of valuable
resource to recording what is said I think Trevor Gray's common sense
approach is both sensible and wise.
We also keep a log sheet at the signing workstation to record risk or near
miss incidents (e.g. PID failures or the request for sensitive results that
has come from an odd source).
Geoff Lester
Royal Berkshire Hospital
Reading UK.
> -----Original Message-----
> From: Ian McFarlane [SMTP:[log in to unmask]]
> Sent: 02 September 2003 14:58
> To: [log in to unmask]
> Subject: Clinical Queries
>
> Dear All,
>
> What do you do about advice given on the telephone/verbally at a Duty
> Doctor
> level? Are all calls logged along with the advice given? Although this
> isn't
> necessary for CPA, is it a requirement for Clinical Governance?
>
> Thanks,
>
> Ian McFarlane
>
>
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