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The patient's record and the legal and ethical duty to register health professionals: a literature review
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Keywords

Medical record
Registration
Confidentiality

How to Cite

The patient’s record and the legal and ethical duty to register health professionals: a literature review. (2020). Electronic Journal Collection Health, 12(7), e3615. https://doi.org/10.25248/reas.e3615.2020

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Abstract

Objective: To describe the importance of the records in the patient's medical record, given the considerable relevance of the legal and ethical duty of health professionals. Bibliographic Review: Due to the legal and ethical value of the patient's medical record, following the correct way of filling it out must be one of the legal precepts used in professional training. The patient's medical record is an individualized and confidential document, supported by ethical and legal precepts, and the records contained therein are extremely relevant to the patient and the professionals involved in his or her treatment. In this way, the medical record shows thecentralization of information, the patient's progression, and the real purpose of the recorded information and should receivespecial attention from professionals more than as a simple record. Final considerations: Professionals must understand the seriousness in filling out the patient's medical record, inserting the basic training of the same elements that support the correct completion of this document, and in the end make it adequate and in accordance with the ethical and legal precepts of its filling, storage and disposal

PDF (Portuguese (Brazil))