Swedish healthcare professionals write notes about their patients in a medical journal, and the patients can read the journal online. That means that they can double-check if they forgot things, but you also have to be careful about how and what you write. The journal is also supposed to be legible to the average person.
I am a middle manager at a healthcare clinic; among my duties are inspecting journals to ensure they follow the guidelines. A patient calls to talk about their journal:
Patient: “Hi, so, I found some… peculiarities in my journal?”
Me: “That happens. What is the problem?”
Patient: “Oh, it’s probably nothing, but I read my journal to remind myself of my treatment plan. Now I can read ‘total encephalectomy’ in the ‘subsequent treatment’ field, apart from the antibiotics, physical therapy, and planned follow-up. I don’t understand what that “encephalectomy” thing entails?”
For you who don’t speak Doctor, “-ectomy” means “to surgically remove”, “encephalon-” means “brain”. The doctor recommends to surgically remove the brain of the patient.
Me: “That’s… well, probably just a small error. Do you want to ask the doctor yourself?”
Patient: “Oh, heavens, I can’t bother him about stuff I don’t understand! I’m probably too stupid…”
Me: “You’re not. We are here to help, especially if you don’t understand what we write. But you know what, I’ll ask him to… specify what he means. Today.”
Patient: “Oh, no rush! You have so much to do, and I’m not that important.”
I hang up (after goodbyes), find the journal, print the page, and briskly walk to the doctor and knock on his door.
Doctor: “Hi, boss! What’s up?”
Me: “Hi. Have you, perchance, recommended that we remove the brain of a patient?”
Doctor: *Blink blink.* “What? No?”
Me: *Hands print-out, with a marked section.* “The patient read the journal. I know my Latin; they thankfully don’t. They want a clarification.”
He reads it and pales.
Doctor: “Oh no… f*** f*** f***…”
Me: “Can you, please, explain yourself?”
Doctor: *Embarrassed and sweaty.* “Yeah, so… Sometimes when I get writer’s block, I write whatever enters my mind to clear it. Usually, some kind of joke, and then I delete it. I thought I did, but…”
Me: “But?”
Doctor: “Well, the program crashed then and there. There must have been some kind of bad save, and I forgot to double-check. I had to run into a cardiac arrest right after.”
Me: “Understandable priority. What will you do now?”
Doctor: “Correct the journal, call the patient to explain that it is nothing to worry about, and never, never ever ever write a joke in the journal again.”
Me: “Sounds good.”
I still filed a report, as per protocol, but nothing came of it since it was deemed a mistake. His journals are now impeccable.