Inadequate clinical documentation hindering patient care understanding

Each row is one judged link between an earlier and a later report. Open a row to read both quotes, found word for word in the originals. ?Every quote shown was checked by code to appear word for word in the original report.

• 2019 → 2020Evelyn Ross7 months after Mary Jones · same coronerIdentical hazardConfidence 0.90 · high

  Identical hazardConfidence 0.90 · high

  Both reports highlight inadequate clinical documentation that hinders understanding of patient condition and care decisions.

  Mary Jones · 30 Sept 2019

  “The documentation within the nursing notes, particularly the fluid charts was poor quality, making it difficult to understand what had happened in relation to the hydration of Mrs [name redacted]”

  Check it in the source

  Evelyn Ross · 27 Apr 2020

  “During the course of the inquest the documentation relied on by the trust was lacking in detail and meant that it was difficult to understand her condition at key points or to understand the rationale for decisions.”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2019 → 2025Janet Anderson5 years 7 months after Mary Jones · same coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports highlight poor-quality documentation that obstructs understanding of patient care. The earlier report concerns fluid-chart documentation affecting hydration assessment, while the later report concerns general documentation missing medication discussions.

  Mary Jones · 30 Sept 2019

  “The documentation within the nursing notes, particularly the fluid charts was poor quality, making it difficult to understand what had happened in relation to the hydration of Mrs [name redacted]”

  Check it in the source

  Janet Anderson · 9 May 2025

  “The GMMH documentation was of a poor quality and did not capture key discussions/decisions including in relation to medication.”

  Check it in the source

  Earlier report in the app · Later report in the app

• 2020 → 2025Janet Anderson5 years after Evelyn Ross · same coronerClosely relatedConfidence 0.90 · high

  Closely relatedConfidence 0.90 · high

  Both reports criticize the quality of clinical documentation, stating it fails to capture essential information needed to understand patient condition and decisions. The earlier report cites lack of detail hindering condition understanding, while the later report notes poor quality missing key discussions including medication.

  Evelyn Ross · 27 Apr 2020

  “During the course of the inquest the documentation relied on by the trust was lacking in detail and meant that it was difficult to understand her condition at key points or to understand the rationale for decisions.”

  Check it in the source

  Janet Anderson · 9 May 2025

  “The GMMH documentation was of a poor quality and did not capture key discussions/decisions including in relation to medication.”

  Check it in the source

  Earlier report in the app · Later report in the app