Documentationisan important aspect of medical care.It is important to document whatever you say in the form of instructions on the discharge card or prescription order and also ensure that the patient/relative comprehends the same

Medical record documentation is an important part of the treatment of the patient. In a recent judgement consumer court has made it clear that if patient’s discharge card carry inadequate instruction, the patient can be compensated for that.c

The case involved was decided in Kumari Laxmi Vs Dr S K Govil and Ors in Madhya Pradesh State Consumer Dispute Redressal Commission> After the treatment the patient required to comme back after 3 days but doctors did not give this in writing on discharge card.

Patient came after three weeks and had some problems for which the court held the doctors responsible.