Why is it important to maintain accurate and contemporaneous patient records?

Maintaining accurate and contemporaneous patient records is crucial as it provides evidence of informed consent and care. This documentation serves as a legal record that illustrates the care provided to the patient and confirms that the patient has been informed about their treatment options, risks, and benefits. These records can be essential in the event of any disputes or legal issues, as they provide clear proof of what was discussed and agreed upon with the patient.

Additionally, accurate records contribute to continuity of care, allowing different members of the dental team to be informed of the patient’s treatment history, preferences, and any changes in their condition. This level of detail and precision ensures that patients receive personalized and appropriate care at each visit.