2Ascribe medical transcription provides articles and information to physicians, healthcare providers, medical transcriptionists, medical quality assurance editors, and the general public. This article emphases that good record keeping (documenting the patient encounter) can help reduce complaints from patients to the Canadian Medical Protective Association.
The Canadian Medical Protective Association (CMPA) receives complaints from patients. Between 2019 and 2023, they concluded reviewing 644 medico-legal cases involving cosmetic procedures performed by physicians. They define a cosmetic procedure as “treatments performed for cosmetic purposes, which are not covered by a provincial health insurance plan or which are not performed for health reasons”.
The CMPA recently published a report to “contribute positively to the safety of care”.
Their medical experts pointed out the following shortcomings:
- Inadequate informed consent process
- Inadequate record keeping
- Deficient assessment
- Inadequate administrative procedures
- Insufficient knowledge or skills
All Canadian colleges of physicians and surgeons have standards for patient encounter documentation.
At 2Ascribe, we support physicians in providing adequate record keeping. Dictating patient encounters is a time saving, efficient way to create documentation. Options for dictating include the telephone, our smart phone app, uploading digital files and the recorder on your computer. 
However you dictate, you’ll be addressing the second most shortcoming in medico-legal complaints, inadequate record keeping. And this not only applies to aesthetic procedures, but to all patient encounters.
Call to find out how you can improve your patient documentation process.
2Ascribe Inc. is a medical and dental transcription services agency located in Toronto, Ontario Canada, providing medical transcription services to physicians, specialists (including psychiatry, pain and IMEs), dentists, dental specialties, clinics and other healthcare providers across Canada. Our medical and dental transcriptionists take pride in the quality of your transcribed documents. WEBshuttle is our client interface portal for document management. 2Ascribe continues to implement and develop technology to assist and improve the transcription process for physicians, dentists and other healthcare providers, including AUTOfax. AUTOfax works within WEBshuttle to automatically send faxes to referring physicians and dentists when a document is e-signed by the healthcare professional. As a service to our clients and the healthcare industry, 2Ascribe offers articles of interest to physicians, dentists and other healthcare professionals, medical transcriptionists, dental transcriptionists and office staff, as well as of general interest. Additional articles may be found at http://www.2ascribe.com. For more information on Canadian transcription services, dental transcription, medical transcription work or dictation options, please contact us at info@2ascribe.com. 866-503-4003
