NMC advises doctors to carefully document patient's case history, examination findings

Observing that proper documentation is the best defence of a treating physician in medical negligence cases, the National Medical Commission (NMC) has advised the doctors to ensure that the case history of a patient or the examination findings are carefully documented.

The Apex Medical Commission further emphasised the fact that there should not be a mismatch between the clinical notes made by the treating physician and the progress notes made by the attending nurse.

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NMC Advice: Doctors Should Carefully Document Patient's Case History, Examination Findings