No let-up for time-poor doctors when it comes to keeping clear and accurate patient notes

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No let-up for time-poor doctors when it comes to keeping clear and accurate patient notes

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Guest writer

Flu
Trying to beat the clock doesn’t mean skimping on clinical notes

FROM THE HDC OFFICE

Meenal Duggal discusses two HDC cases where clinical notes were inadequate and in one, an important referral was not actioned

The doctor stated he cannot recall whether he gave the second vaccine The requirement for doctors to keep clear and accurate clinical record