GALTI MAT KARNA
purane procedure ka consent ab sign karwa ke date-adjust karna = fabrication. Assessor signature-ink aur patient se verify kar sakta hai.
SAAMNE BOLO
'noted — is file me consent documentation gap hai, hum systemic audit karenge'. Ek file ka gap minor NC hai; pattern nikla to major — isliye CAPA me full audit khud propose karo (proactive dikhta hai).
CAPA LIKHO
(1) Correction: is patient ke agle sitting par fresh consent (aage ke treatment ke liye). (2) Corrective: sab active files ka consent-completeness audit — IMS clinical record review/chart audit format use karo, findings CAPA register me. (3) Preventive: e-signature consent workflow adopt karo — patient chart me consent template khol ke chairside e-sign pad par sign hota hai aur file me digitally attach — print-and-forget wala gap hi khatam.
APP ME DIKHAO
patient chart (V2) → Consents section — signed consents list with dates; guardian toggle for minors. MRD checklist register me 'Consent on file' chip bhi hai — discharge/completion par ye check hota hai.
PREVENTION
front-desk rule — procedure Done mark karne se pehle consent status check; weekly 5-file self-audit habit.