The vast majority of clinical incidents and legal claims arise as a result of poor communication usually through poor documentation. The course examines the importance of good record
keeping, best practice and legal and professional obligations of the health professional.
It also looks at whether the records will stand up to legal scrutiny and what the lawyers
and the courts are looking for.
Learning objectives
The nature and purpose of the records
Impact of records on the quality of care
Professional and legal obligations
Best Practice in Health records
Accountability
The evidential role of records
The course is interactive with good use of real cases and exercises.