I recently was reviewing a patient’s electronic medical record and stumbled across the following note:
Impression: The patient’s primary problem is his wife.
Plan: …
An addendum was added a few minutes later:
I did not mean what I typed above. The impression should read: “The patient’s primary problem is [issue] and his wife is helping with…”
Sometimes, we all hit the “submit” button a little too quickly.
5 Dec 2008