Why I'm losing faith in computerised records
Your report (News, December 1) raises our awareness to the concern about fullness of records kept on computer rather than paper notes. I am sure I actually write more on computer than I used to on paper since I think I can type faster than write, although I admit more spelling errors.
However, I agree with the concern about legal implication of unrecorded consultations.
I had a consultation on Monday, and sent for blood tests. I recorded the consultation on computer. On Tuesday, the result arrived and I went to append it to the computer record. But it was not there not a trace of it.
On another occasion a patient came in with a presription that our computer claimed not to have issued. We are left wondering how many other records are lost that we do not know about.
I am therefore guilty of not recording all consultations, but it seems to be an IT problem rather than mine. Do I need to record all consultations in writing if our computer is unreliable?
If that is the case I would stop entering them on the computer entirely and I'm not yet 40!
Dr David Church