Clinical record keeping

In this 5 part TubulesLive, Dr. Len D'Cruz visits the important aspect of medicolegal records.



Can clinical records really prevent problems. Part 1. The framework of record keeping - Dr. Len D’Cruz

Aims and objectives:

• Understand the need for clinical records
• Understand the main cause of complaints received by the GDC
• Understand the important elements and components of a good record
• Understand the guidelines and standards for record keeping and the importance of systems

Can clinical records really prevent problems. Part 2. Legal requirements for clinical record keeping - Dr. Len D’Cruz

Aims and objectives:

• Understand how long should records be kept
• Understand the legal requirements for the storage of records
• Understand the legal requirements regarding the disposal of paper records
• Understand who has access to patient records and can patients be charged to access their records

Can clinical records really prevent problems. Part 3. Applications and risk management - Dr. Len D’Cruz

Aims and objectives:

• Understand the many fields where dental records may be applied
• Understand the drawbacks of custom screens and auto text
• Understand the role of record keeping and periodontal disease
• Understand record keeping and consent
• View examples of record keeping
• Understand the consequences of falsification

Can clinical records really prevent problems. Part 4. Audit and the NHS - Dr. Len D’Cruz

Aims and objectives:

• Understand the rules about mixing NHS and private treatment
• Understand what is urgent, continuing treatment and how your records should reflect this
• Be informed about NICE guidelines
• Understand the role of audits in record keeping and examples of various audits

Can clinical records really prevent problems. Part 5 - Dr. Len D’Cruz

Aims and objectives:

• Question and answer session with the live audience