
Malpractice litigation affects all healthcare professionals, who are experiencing an increase in complaints lodged. Good record-keeping is key for prevention.

Accompanying videos
In 3 brief videos, Dr Graham Howarth explains his key messages and adds practical insights to the formal report.
You can read the report online and access the appropriate video by clicking on the video-link provided adjacent to the text.
1. The medico-legal environment
2. The power of informed consent
3. Contemporaneous notes – a pillar of defence
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- Question 1 of 15
1. Question
1. Negligence is a legal concept that describes a failure to attain a reasonable standard of care.
- Question 2 of 15
2. Question
2. Which statement is false?
- Question 3 of 15
3. Question
3. Which of the following are minimum statutory requirements of the informed consent process?
- Question 4 of 15
4. Question
4. In South Africa, the limitation period for bringing a claim of clinical negligence is five years from the date on which a patient becomes aware of a problem.
- Question 5 of 15
5. Question
5. What is the primary function of medical record-keeping?
- Question 6 of 15
6. Question
6. Good medical record-keeping should:
- Question 7 of 15
7. Question
7. Which features are deemed an absolute minimum necessity for each patient’s medical records?
- Question 8 of 15
8. Question
8. Common pitfalls in medical record-keeping that compromise patient safety include.
- Question 9 of 15
9. Question
9. It is unnecessary to record the relevant reasons and dates when booking a patient off work.
- Question 10 of 15
10. Question
10. From a risk management perspective on medical record-keeping, it is important to record:
- Question 11 of 15
11. Question
11. It is particularly important to make a note of any instructions given to patients about what to do if their symptoms change, persist or worsen.
- Question 12 of 15
12. Question
12. Which statement is false?
- Question 13 of 15
13. Question
13. For damages to be awarded to a claimant, which of the following requirements need to be proved?
- Question 14 of 15
14. Question
14. Which statement is true?
- Question 15 of 15
15. Question
15. Which statement is false?
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