As clinician, you don’t need to prove the factuality of a statement about me before you enter it. It will be then treated as fact - even if it’s subjective or tentative (or even not true). As Pt I have to fight for years to remove untruths. Because they’re you’re records
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It would as I say protect staff from complaints that 1 nobody ever spoke to us 2 that dr/nurse AHP never told me that/never explained/warned or... 3 Did tell me/promise that or 4 didn't listen and respond to my concerns/was rude or dismissive when we spoke So win/win
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...and knowing that a conversation was being recorded, it might put me off, as a patient, asking what I'd fear might be construed as "daft questions". Not saying it would put me off, but it might.
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recording should never be forced on patients or families, nor should having their own records, nor own health budgets nor having to access care digitally,. It should be a choice not an imposition. However, the quid pro quo is that the clinical notes ARE the record
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‘Either we make an audio recording of your sensitive consultation, or we write a partisan, defensive account of the interaction’. Neither addresses the epistemic/power imbalance that affect care records
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Well, to be fair, that works both ways. What's to stop me, as a patient, making up stuff about what went on in a consultation, and telling it to an "ambulance chasing" lawyer? I wouldn't, of course, but some might.
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Nothing (well apart from being labelled as a malicious complainant etc in your notes). And as observed above, untrue allegations by patients at treated as allegations, and staff are presumed innocent. Untrue allegations by staff are presumed fact. Hence the power imbalance
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Then I guess the suggestion of audio recording (with consent of both parties) of consultations probably makes sense.
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Consent of both parties is ideal and imho, preferred. But only the patient's consent is strictly necessary.
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Safe staffing and clinicIan responsibility to give time and attention to ALL service users/families and all who might need services and to prioritise based on need and urgency
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