Nick:
> If patients do not want certain info held on computer maybe we should
> offer them a patient held record? We could then enter the read code
> for patient held record on the computer to alert future clinicians and
> it would be up to the patient to bring it with them. Nick
Angus:
> It sounds a good idea but what about the patient coming for further
> treatment without his record. I would be responsible for what I
> prescribe, and perhaps I would be considered negligent if I prescribe
> badly because I cannot remember and do not have material notes about
> this patient I have been treating in the past. Would we need to get
> him to sign a disclaimer, and would that be medicolegally acceptable?
> We also would hit problems with audits/ quality points etc. unless we
> did keep a minimum of relevant information on chronic disease review,
> or omitted to include his diagnoses at all on the GP record. At the
> least we would fail to be able to specify his notes were summarised,
> and he had 5yrly BP etc.
... and the benzo addict getting scripts from various practices, or the
unconscious patient etc.
Laurie
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