Copying and pasting is widely used by clinicians and is a convenient and time-saving way to export important and pertinent patient information from one section of the medical record to another. However, copying and pasting information has the potential to harm patients if not done prudently.
In 2016, Dr. Kloda sought treatment with Dr. Brooks for his depression. Dr. Kloda shared with Dr. Brooks his desire to try ketamine therapy as he had experienced suicidal ideations in the past and hoped that ketamine would prevent future thoughts.
Despite the benefits, the serious consequences that can derive from the improper use of AI cannot be ignored. An example of dire consequences was seen in a recent Avianca Airlines lawsuit.
This Case of the Month emphasizes the importance of documenting conversations with patients regarding informed refusal. Beware: A good physician-patient relationship may not always save the day when adult children get involved
When it comes to timing of important events in a patient’s care, making the effort to note when those events occurred is well worth the minimal investment in time required.