Record Keeping and Report Writing for Healthcare On-Demand
New: On-demand course. Book and start it anytime, complete it in your own time.
It is essential that documentation within our health service is adequate to allow for clear comprehensive communication and to satisfy GDPR requirements.
This e-Learning training course will equip delegates with the necessary knowledge and skills to create clinical records that adhere to best practice standards, that comply with GDPR requirements and that will stand up to legal scrutiny.
This course will focus firstly on analysing why clinical records are kept and best practice standards in maintenance of good records in compliance with GDPR requirements. It will then look at where professionals fit into the legal system and how their records can be used as evidence in a court hearing. It will help you understand what is required from reports.
This course also considers the content of reports by considering the source and weight of evidence to be included and learning to distinguish between facts, inference and opinion. It considers the type and format of reports.
Key learning points:
Understand how you can be held accountable as a professional
Understand the importance of good record keeping
Understand the function of records
Understand GDPR requirements
Learn the components of good record keeping
Understand the importance of fact and opinion
Be clear on how clinical records can be accessed by third parties
Who will benefit from this course:
All Medical, Health & Social Care Professionals produce records in the course of their work, which are regularly relied on as evidence in legal cases. If your records fail to stand up to scrutiny this may have serious consequences for both you and your client.
This course allows attendees to look at what is required to create records to the required legal, professional and evidential standards.
You can study this course at a time and place that suits you. It takes approximately 1 hour to complete.