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Good record keeping

Keeping good patient records are a crucial part of running a practice, yet not all practitioners are meeting the standards. Shannon McKenzie reports

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According to Gerda Goldinger, head of legal services at the Association of Optometrists, practitioners need good, legible notes because if there are ever any questions raised, the practitioner's memory is not always sufficient. And, she says, the records practitioners are expected to keep are becoming more and more detailed.

'The world in which we operate is becoming more litigious, and standards of record keeping have changed in the last 30 years,' she says. 'Today's optometrists must be aware that they may have to keep more detailed records than was sometimes the case 30 years ago. What was acceptable back then may not be today.'

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