Posts Tagged: clinical language

Patient Records: mind your language.

Closely following the requirement for your records to be legible is that the language is understandable. You may find it challenging to consider the abbreviations you use and how well they are understood. You must always be careful what you write in your patient records – I’d like to think that goes without saying. Personal comments about patients, even abbreviated, must be written in a manner that would not cause offence. What abbreviations are you using? Can they be understood? Is your language consistent within your notes? Your notes may Continue Reading »