Introduction to health records -- Health records and the law -- Accountability -- Will the records stand up to legal scrutiny? -- Good practice for health records -- Detail -- How do we record? -- Fact, assumption, professional opinion -- Amending the records -- What to leave out -- Common errors in the the records -- Sharing information -- Access to health records by the patient -- Systems of record keeping -- Further considerations -- Who owns the health records? -- Health records used to prepare witness statements and reports -- Health records used as evidence -- Defensive writing -- Assessment criteria for health records.
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Medical records-- Law and legislation-- England.
Forms and Records Control-- legislation & jurisprudence.