Medical records
Main Scale
| Does not conform to practice policy. |
Conforms to practice policy. |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
| Has little understanding of this. |
Attempts to do this but is not yet skilful and sometimes runs into difficulty. |
Attempts to do this and is usually successful but recognises his/her limitations. |
Perfect |
Subscales
The doctor’s acceptance of the importance of good record keeping in general practice is shown by:
|
|
Rarely |
Occas
ionally |
Fairly
frequently |
Often |
Usually |
| (a) |
His/her readiness to initiate improvements. |
|
| (b) |
His/her willingness to conform to high practice standards. |
|
| (c) |
His/her ability to use properly other components of the record system such as age/ sex index or disease register. |
|
| (d) |
His/her care in seeing that the patient’s records are always available to the practice. |
|
Notes for raters
This area of behaviour is best assessed in case discussion (eg ‘what did you tell the patient about. ..?” , ‘what did you warn him about…?”)
Comments:
