07:17 1st February 2018 | Importance of Medical Records
Medical records typically consist of self-reported patient information along with doctor’s notes on diagnoses, care and treatments. But there’s so much more to it. We want to help people understand why medical records are important. In doing so, we hope to encourage everyone to share accurate information each time they consult medical professionals.
Information Included in Medical Records
Up-to-date medical records generally contain self-reported details such as contact and demographic information, lifestyle habits, medical history, vaccination information, past test results and medical imaging.
Lifestyle Habits: Biographical Data
Medical Information and History: Self-reported and Documented by Doctors
It is not emphasised enough how much healthcare providers need and appreciate this information! All paperwork and electronic documentation that exist should be kept safe by patients and their healthcare providers. Details of medical services should include dates, times, attending medical personnel, admittance and discharge reports, prescriptions and any other related medical and lab reports.
Why are medical records really important?
Comprehensive and accurate medical records empower healthcare professionals to treat patients to the best of their ability. Every single available detail is important because all accumulated information can contribute to diagnosis and treatment.
With the help of information technology, healthcare could become more cost-effective and facilitate improved patient outcomes.
The number one reason why accurate, up-to-date medical records are important: THEY CAN SAVE LIVES
Challenges Associated with Information Gathering and Distribution
As much as medicine is a science, it is also an art that relies on personalisation. Requesting personal information or delivering uncomfortable news is always challenging. Medical professionals should therefore inspire trust, nurture doctor-patient relationships and make their patients feel as comfortable as possible, all while ensuring them they can trust in doctor-patient confidentiality.
It’s not too late to start keeping track of all your medical records. Also, if you have children, start (or continue) logging his or her different doctors, consultations, procedures and surgeries. Also request copies of any reports and results. Reliable records will help doctors to provide the best care for your child.
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