Dr. Pratibha Kane is an Associate Professor in Anesthesiology at Jehangir Hospital with over 32 years of clinical experience. She has a special interest in Medico Legal Counselling, the legal aspects related to Healthcare and Risk Management and Quality in Healthcare. If continuity of care for patients is to be assured, it is vital to keep good medical records, whether they are handwritten or electronic.
Health professionals and others are able to use adequate medical records to reconstruct the essential parts of each patient contact, without the need to refer to memory. During the administration of anesthesia, anesthesiologists must properly maintain a paper record, charted manually, that includes extensive patient care–related data (vital signs, other parameters, etc). The anesthetic record is usually the sole documentation of an anesthetist's interaction with his or her patient.…
