#LearningfromDeaths @Jeremy_Hunt says individuals have professional code of conduct that should encourage candour. @willcpowell says legal duty should be on all individuals not just on trusts to close loopholes
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Wow. Steps 1-3 I’ve been deeply suspicious happened to me. Now I have a name for it.
so it is a strategy used regularly. Appalling -
Indeed. There aren't many walks of life where in order to take legal action against someone, you have to ask the accused to hand you the evidence with which to do it. Cover-ups are literally guaranteed when it's so easy to do. Med record integrity affects everything else.
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Wonder if relative integrity of computerised GP records helps ppl?
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My main focus has been secondary care tbh, but I do think electronic audit trails help in general. Of course, that in turn means we have to fight NHS not to steal our most intimate GP data for their mega database without consent, but I prefer that battle of the 2.
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I don't think the mental health services thought I would get the files & read all the contents. The records include a lot of inaccuracies in note taking & dates. It is here I noted CKD due to medication 2005 11 years after it came to attention & finally removed in April 2007.
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the problem is inaccuracies in the medical record are hard to prove unless it is something very concrete... like date of birth.
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And (from a professional POV) you mustn’t just delete what (in hindsight) were obviously stupid misdiagnoses - as that’s fraudulently changing a record to hide a mistake. There is a complicated way to “re-code and replace” the headline dx but it’s timeconsuming and clunky.
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So in summary - nonsense like weed and seed seems to be easy enough for the nefarious. But improving accuracy of med records for the benefit of patients and legit clinicians is quite hard.
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You have to wonder who set the priorities for creating these systems sometimes.
@dr_shibley talks about 'little revision of diagnosis' & I get the impression pride plays a part sometimes. Systems that discourage revision will only worsen the phenomenon. https://drshibleyrahman.wordpress.com/2018/09/16/can-you-do-the-tto-for-the-appendix-in-bed-5/ … -
Yes and colleagues are also loathe to contradict fellow medic so even getting a second opinion can be difficult.
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Absolutely right. I find you have to travel a very long way out of town before you find a true 2nd opinion. And even then you have to carefully research the history of the person behind the 1st opinion, to ensure their influence doesn't extend to your new choice. Sad, but true.
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Yes - and even then simply the 'profession' identification may exert some influence, both are doctors. A truly independent opinion is like gold dust though I do think some, more reflective professionals, can provide it
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Never forget the evil lawyers.....a group who are protected by good lawyers who fail to do what is right due to fear of how powerful bad lawyers are....and politicians allow this...see Hillsborough football, contaminated blood etc
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