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Relatives had to 'alter faults in medical records' at Mid Staffs

  • 2 Comments

The inquiry into serious failings at Mid Staffordshire Foundation Trust examined medical records, and heard from patients and their families of concerns about record-keeping.

It found a number of faults, including: incomplete nursing records; no clear record of patients’ transfer to different wards; no consistent use of care plans; lack of appropriate nutrition and hydration charts; and inaccurate recording of the time of death.

A number of relatives told the inquiry how they altered the records themselves on finding inaccuracies.

  • 2 Comments

Readers' comments (2)

  • i am a staff nurse who understands record keeping is important factor in nursing.but you no what my record keeping could be better and i do try by doing overtime which can equate to 4 hours per week i do not get paid for this. but due to low staffing levels i have to try to meet the needs of the patients first. then i stay back and do the record keeping in a rush so it is not perfect but if i dont write it down then it never happened. when you have outbreak of C.difficile the work load trebles at no extra staff so i can see that record keeping will be hard to maintain due to exhausted staff. this is not a excuse this is the real world of nursing today in the UK.

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  • It is difficult to find the best and most effective way of documenting. Difficult to find the time to document it when at the same time we should be providing care, making phonecalls, observing, the list is endless. There is a limit to multitasking and I have not yet found a way to grow extra hands.

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