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Good records are essential in Accident and Emergency medicine for adequate clinical care as well as for medico-legal reasons. This book explains the reasons for keeping good records and describes how AandE records should be kept both in general terms and emphasising the essential information to be recorded with different mechanisms of injury and in different anatomical sites. Some proformas for collecting information on specific injuries are given and there are many examples of appropriate notes. This book is essential reading for the new AandE doctor and AandE nurse practitioner.
This book investigates the critical necessity of maintaining accurate clinical documentation in emergency medicine for both patient safety and medico-legal protection. Henry R. Guly, an experienced practitioner in the field, provides a structured framework for medical professionals to standardize their record-keeping practices. The text argues that systematic documentation is not merely an administrative burden but a fundamental component of high-quality emergency care.
What You Will Find
Scope Limits
Experts and practitioners frequently cite this work as a foundational resource for new emergency department staff and nurse practitioners. Readers often note the practical utility of the provided templates and the clarity with which the author addresses the intersection of clinical care and legal liability.
Page Count:
232
Publication Date:
1996-01-01
Publisher:
Oxford University Press
ISBN-10:
0192624628
ISBN-13:
9780192624628
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