Are psychiatric case-notes offensive?

Case Notes.

AMONG the causes of unilateral proptosis, tumours of the orbital contents must be frequently considered and, whilst their nature varies widely and published series differ considerably in their estimate of the frequency of different types of tumour, there is general agreement among ophthalmic surgeons that haemangiomata of various types are responsible for a large proportion of them. Thus, Reese...

Substance misuse in psychiatric inpatients: comparison of a screening questionnaire survey with case notes.

and did not result in a clarifying change of name. No evidence has been published that the continued use of the 14 point scale may have caused harm to any patient. The practice does, however, lead to difficulties. Staff from one hospital told us about their recurrent problems communicating with the local neurosurgical unit because the two were using different scales. In another trust, the neuro...

Computerised cardiological case notes.

Optical Mark Reader forms have been used by the Cardiac Department at St Thomas's Hospital for six years to store clinical and haemodynamic data by computer. Forms are completed by clinical staff in outpatients and also for those patients undergoing cardiac catheterisation. Three documents are used to record the symptoms and signs at the clinical consultation, the results of relevant investigat...

Psychiatric Case-Taking Cards

Open Notes in Swedish Psychiatric Care (Part 1): Survey Among Psychiatric Care Professionals

BACKGROUND When the Swedish version of Open Notes, an electronic health record (EHR) service that allows patients online access, was introduced in hospitals, primary care, and specialized care in 2012, psychiatric care was exempt. This was because psychiatric notes were considered too sensitive for patient access. However, as the first region in Sweden, Region Skåne added adult psychiatry to it...