Documentation in Medical Practice

Authors

  • A Menon Associate Professor,Kasturba Medical College, Mangalore-575001, Karnataka, India.
  • P Rastogi Assistant Professor, Department of Forensic Medicine, Kasturba Medical College, Mangalore-575001, Karnataka, India.

DOI:

https://doi.org/10.48165/

Keywords:

Medical Records, Documentation, Documentary Evidence

Abstract

Many Doctors do not follow proper documentation of medical Records. In fact many  of them do not realize the importance of documenting their records thoroughly,  thereby exposing them to frivolous charges of malpractice. This paper seeks to  impress upon the importance of proper medical documentation and its medico legal  significance. The materials are collected by reviewing medical records of KMC  hospitals and Govt. Wenlock hospital, Mangalore, India along with medical registers  of medical record departments of above-mentioned hospitals. For additional  information the listed references were consulted.  

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References

1. Hirsch HL. Physician and Medical Records-A Necessary Evil. Med Law 1987; 6: 79-90.

2. Hirsch HL. Medical Records-Their Medico-Legal Significance. J Family Practice 1975; 2: 213-216.

3. Matte PJ. Legal Implications of the Patients’s Medical Record. In: Wecht CH editor. Legal Medicine Annual. New York: Appleton-Century Crofts; 1971. Pp 343-375.

4. Dabla S, Pal V, Yadav DR. Medical Records-A Vital Link in Doctor-Patient Relationship. Int J of Medical Toxicology and Legal Medicine 2001; 4:18-20.

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Published

2008-01-30

Issue

Vol. 5 No. 3&4 (2007): Indian Internet Journal of Forensic Medicine and Toxicology (Jul-Dec)

Section

Articles

How to Cite

Documentation in Medical Practice . (2008). Indian Internet Journal of Forensic Medicine and Toxicology, 5(3&4), 18–30. https://doi.org/10.48165/