Hospitals own the notes. I know. Weird. No lawyer needed- just have to follow hospital procedure (varies) to access them. Don't forget you need a translator for abbreviations and medical jargon. MH setting? Is the real problem breakdown of trust / therapeutic relationship?
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Teaching Med Students today about our Electronic Discharge Summary - first The Process is difficult to use, cumbersome, easy to get wrong, hard to get right and does not integrate in any way with any other computer or paper system to do with care of our inpatients
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Second, once the discharge meds are typed into the summary in Pharmacy they print out the Summary and retype by hand the same list into the Pharmacy software - You couldn’t make it up
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I think I've already used the head-in-hands gif elsewhere, otherwise I'd be wheeling it out again now. With the possible exception of nuclear, few industries can claim to have a greater need for safe/efficient systems to protect life & limb than healthcare. That just tempts error
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I moved on towards the end of my piece at https://www.dignityincare.org.uk/Discuss-and-debate/download/319/ … to an analysis of the documents used during end-of-life - and 'different parts of a form having different 'owners'' is an obvious issue/problem, with many documents.pic.twitter.com/dbZYBSAda5
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Not quite sure what thread is about - but I was pointed at some 2011ish guidance about Advance Decisions that claimed 'after completion you give it to your GP/clinician' which is totally flawed: a written ADRT is yours - you HANG ON TO IT!
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But you must always tell the doctor if not they won't know your decision.
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Sort of 'yes' - but if you are at home, having told your GP your GP knows your decision until you change your decision: as soon as you change your decision, it has been changed, and if the only person you are ABLE TO tell immediately is a person sharing your home then ...
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Talk about separating the dancer from the dance! It is not logically possible for the paper something's written to belong to one party while what's written belongs to another party. Somehow, it needs to be consolidated in law that patients own their own data - end of.
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@SECarruthers@stevegilbertmh The point about clarification of ‘ownership’ relates to those recommendations we discussed A simple clarification would be really useful where specific circumstances may currently create ambiguity ?!
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