As cited by O. Robertson (1985), in the year 1982 issue of the American Society of Internal medicine, Dorothy Rasinski an internist on one hand and a medical / legal expert on the other, suggested the ‘9 R s to prevent medical malpractice’, which holds good even to this day in many parts of the world.
Rapport – A good healthy rapport and communication with the patients, their families, hospital and office staff.
Rationale – effective comprehension of the patient’s condition and having the best possible treatment plan for individual patients.
Record – proper documentation of plans and patient’s progress.
Remarks – avoid off hand and silent comments or being critical while communicating with patients or their relatives and friends.
Rx – Document Allergies, interactions and contraindications without fail.
Res Ipsa loquitur – If the matter speaks for itself take proper steps to resolve the issue with adequate restitution.
Respect – respect patient’s wishes and respect as an individual despite background, social status or culture.
Results – patients should be made aware of possible outcomes of diagnosis, be it bad or good.
Risks – risks need to be explained and discussed with patients, and documented before consent.
Dr Pallavi Hoskote