Scholles J R
J Am Optom Assoc. 1986 Feb;57(2):141-3.
Attorneys are often handicapped by inadequate, illegible records in defending optometric malpractice claims. Many practitioners record only the abnormal conditions they observe, and thus in the future there may be no way to verify what tests were performed during the examination. Good records should reflect every aspect of the encounter with the patient, including history, findings (normal and abnormal), treatment, and referrals.
在为验光师医疗事故索赔案进行辩护时，律师常常因记录不充分、难以辨认而受到阻碍。许多从业者只记录他们观察到的异常情况，因此将来可能无法核实检查期间进行了哪些测试。良好的记录应反映与患者接触的各个方面，包括病史、检查结果（正常和异常）、治疗及转诊情况。
