Abstract
Abstract Aim Quality of documentation of patient notes Method Guidance for standards was taken from ‘The importance of Clinical Documentation, Ann R Coll Surg Engl(Suppl) 2014; 96:18–20’ Data of 100 patients over 2 weeks. Assessed: Results Availability of notes: 15/100 notes were not available on the wards at the time of data collection Conclusions Based on above results the significances of: Results Unable to provide proof of treatment if any abnormalities were found and medical negligence
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