Bedside Rounds

72 - Problems

Mar 20, 2023
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ANECDOTE

Larry Weed at Emory

  • Larry Weed challenged Emory residents' charting practices by analyzing a confusing progress note.
  • He questioned the documentation of a stroke patient receiving Thorazine and SSKI, highlighting the note's lack of clarity.
INSIGHT

Documentation's Impact on Thinking

  • Larry Weed believed documentation is fundamental to medical practice, not mere bookkeeping.
  • He argued that how data is handled directly influences clinical thinking and the quality of care.
ADVICE

Documenting Patient Problems

  • Focus on major problems when documenting patient care, avoiding exhaustive lists.
  • Prioritize cognitive energy on current decisions rather than past, resolved issues.
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