Author/Authors :
Imran, Nazish King Edward Medical University (KEMU) - Mayo Hospital - Child and Family Psychiatry Department, Pakistan , Haider, Imran Ijaz Fatima Memorial Hospital - Psychiatry Department, Pakistan , Chaudry, Mansoor R. King Edward Medical University (KEMU) - Mayo Hospital - Child and Family Psychiatry Department, Pakistan , Bhatti, Sarah R. Fatima Jinnah Medical College, Pakistan , Akram, Ali King Edward Medical University (KEMU) - Mayo Hospital, Pakistan
Abstract :
Good standard of clinical record keeping and medical case notes are essential in ensuring high quality care of patients as well as aid communication between diffe-rent team members. It also informs medico legal inves-tigations, clinical audit as well as research.1 In psy-chiatric practice, good history, detailed mental state examination and risk assessment as well as relevant physical examination forms the basis for accurate dia-gnosis, formulation as well as management decisions.
