A reminder - for the record
Documentation is an essential component of effective communication. Given the complexity of healthcare and the fluidity of clinical teams, healthcare records are one of the most important information sources available to clinicians. Undocumented or poorly documented information relies on memory and is less likely to be communicated and retained. This can lead to loss of information, which can result in misdiagnosis and harm.
(Australian Commission on Safety and Quality and Safety in Health Care)