Medical Negligence Pertaining to Medical Records: A Retrospective Study

Authors

  • Sanjay Sukumar

DOI:

https://doi.org/10.37506/ijfmt.v16i1.17637

Keywords:

Medical negligence, Medical records, Consumer court cases, Liability, National Commission.

Abstract

Background: Medical record is a vital document, and the doctor/hospital has to maintain these records properly. Most medical negligence cases rely heavily on medical records to establish a case of negligence against the doctor. Poorly filled or incomplete medical records will usually work against the favour of the treating doctor. Methods: A total of 242 cases of medical negligence cases decided by the National Consumer Disputes Redressal Commission (NCDRC) from 2015 to 2019 (5 years) were analysed, and negligence/deficiency in service was proven in 126 cases of these lacunae in the medical records were found in 37 cases. Results: Some of the common mistakes were missed entry in the medical records (37%), deficient consent form (20%) and missing medical records (17%). Conclusion: Medical records play a vital role in medical negligence cases. Not maintaining proper medical records can leave the doctors/hospital vulnerable in liability cases.

Author Biography

Sanjay Sukumar

Additional Professor, Department of Forensic Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry-605006

Downloads

Published

2021-11-30

How to Cite

Sanjay Sukumar. (2021). Medical Negligence Pertaining to Medical Records: A Retrospective Study. Indian Journal of Forensic Medicine & Toxicology, 16(1), 1074–1079. https://doi.org/10.37506/ijfmt.v16i1.17637