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I worked in a Peds ICU for years and these docs see maybe 15 patient's /daily, several times a day, and documentation is always left to the end of the day....Docs who haven't been bright enough to embrace technology, *i.e. a simple small tape recorder, to dictate their encounter with a patient immediately after seeing the patient are all guilty of this...there's just no way to keep the details for that number of patient's straight in your head until the end of the day! And it can have disasterous consequences! One way I "quality check" any new physician I see is to watch how he documents patient encounters...I only keep the docs who dictate their note IMMEDIATELY following our contact....
and this WILL catch up with them sooner or later....testifying in a malpractice case is a horrifying experience...even when your documentation is complete, and accurate...lawyers LOVE doc's like that!
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Re: My Doctor Records suck!
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