Endless evaluation

BMJ 2004; 328 doi: (Published 01 January 2004) Cite this as: BMJ 2004;328:57
  1. Kevin Barraclough, general practitioner
  1. Painswick, Gloucestershire

    I have just been going through some hospital notes on a case. There were, of course, pages and pages of necessary documentation of drugs given, fluids, results, and clinical findings. More distressing were the huge volumes of paper work taken up with entries such as the following: “Problem—maintaining patient dignity. Plan of action—local and national codes to be adhered to.” This was then followed by a handwritten note stating, “Dignity maintained.” There were numerous other …

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