Not making notes in medical records is medical negligence

Issue - May - 2019, Posted On:   01 May 2019

Making notes diligently and appropriately in the medical records, especially during an intervention is not just crucial from patient’s safety point of view, but also for the doctor’s own legal safety. In this case, the hospital and surgeon were held negligent for their failure in recording the duration of cardiac arrest suffered by the patient in operation theatre (OT), among one other critical aspect.

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