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Advice 20/12/2018

12 record keeping tips

12 record keeping tips

Time to read article: 2 mins
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We have made a list of the things to remember when it comes to making and retaining good patient records.

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Factsheet 19/12/2018

Record-keeping

Record-keeping

Time to read article: 2 mins
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Good medical records – whether electronic or handwritten – are essential for the continuity of care of your patients. Adequate medical records enable you or somebody else to reconstruct the essential parts of each patient contact without reference to memory. They should therefore be comprehensive enough to allow a colleague to carry on where you left off.

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Case report 27/11/2018

Video: Chain reaction

Video: Chain reaction

Time to read article: 6 mins
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This video provides some valuable lessons in diagnosis, documentation and the information that needs to be communicated to patients.

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Feature 08/06/2018

Redaction and anonymisation - doing your bit for data protection

Redaction and anonymisation - doing your bit for data protection

Time to read article: 1 mins
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New data protection regulations came into force on 25 May and MPS is committed to fulfilling its legal obligations – correct redaction and anonymisation is one way that you can play your part in safeguarding data.

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Case report 13/04/2018

Failure to act on cauda equina

Failure to act on cauda equina

Time to read article: 3 mins
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Mr X, a 25-year-old fit and active man, was reviewed by his GP, Dr A, with a recurrence of lower back pain. He had noticed lumbar back pain intermittently throughout his 20s, but played a lot of sports to which he attributed his symptoms.

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Case report 12/04/2018

Strong record-keeping – strong defence

Strong record-keeping – strong defence

Time to read article: 4 mins
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Ms Q, 58 years old, consulted Dr G, a gastroenterologist, with a history of dyspepsia, early satiety and altered bowel habit. Clinical examination, including digital rectal examination, was recorded as normal...

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Case report 14/11/2017

The importance of living wills

The importance of living wills

Time to read article: 1 mins
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Patient B, a 70-year-old female, with a history of dementia, stroke and pneumonia, was admitted to the emergency room of a private hospital in a coma. She had advanced lung cancer and was well-known to the physician, Dr Y, who was called to see her.

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Case report 14/11/2017

HIV diagnosis

HIV diagnosis

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A female patient at a medical centre consulted GP Dr F and was subsequently sent for further treatment at another department within the building.

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