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Course: OET Reading Course
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Curriculum

OET Reading Course

Reading Part B

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Quiz

Reading Part B38

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Select the most appropriate answer from A, B, C. 

  • First, check if the option is Mentioned is the paragraph and Question.
  • If it is not Mentioned, proceed to Eliminate that Option.
  • If you are not sure, apply our LONS Methods too.
  • Do not expect a 100% Correct Option. Choose the one with the strongest possibility.
1.

B38. What is being described in this extract?

Medical Records

Medical records is a broad term, encompassing a range of data and information storage mediums containing patient information. Whether paper based or electronic, the term “medical records” applies to clinical notes, investigations, letters from other doctors and healthcare providers, photographs and video footage. However, information exchanges (such as correspondence, email and file notes of discussions) between a medical practitioner and their medical indemnity insurer or solicitor should not be stored in the medical record. For this reason, it is recommended that you keep a separate medico-legal file in which to store these documents. Medical records are an integral part of good quality patient care. The primary purpose of the medical record is to facilitate patient care and allow you or another practitioner to continue the management of the patient. Clinical observations, decision making and treatment recommendations or plans should be recorded contemporaneously. This reduces the possibility of an error occurring and is an important risk management tool.

Detailed information about medical records.
Purpose of medical records in patient care.
How to avoid errors in medical records.