FSRH Clinical Standards Record Keeping Jul 2014

Published on: 1 July 2014

File size: 490kb PDF

File type: Clinical Standards

Author: FSRH Clinical Standards Committee

Good record keeping ensures that clinicians and other staff can readily access information to provide efficient and high quality care. It facilitates continuity of care whilst informing and justifying decision making in a manner that it is clear to all. In the event of complaints, untoward incidents and medico-legal cases, accurate and comprehensive documentation supports efficient resolution. In addition, good clinical records support audit, management, planning, policy, commissioning and research.

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