Recent analyses indicate that the ratio between total insurance policies paid out and those for damages for malpractice are 1:3. Bad organization of clinical records by doctors is among the main causes of this phenomenon. In fact, clinical records can be considered a public document as well as a means of verifying quality controls. Having precise procedures for the management of clinical records can be useful to demonstrate objectivity both in diagnosis and treatment choice - which can be very important in court cases. This paper illustrates some practical proposals for a correct organization and administration of clinical records.
|Translated title of the contribution||The clinical record as quality system document: A practical example|
|Number of pages||7|
|Journal||Italian Heart Journal Supplement|
|Publication status||Published - 2004|
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine