Healthcare Records in Court

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The vast majority of legal claims arise as a result of poor communication usually through poor documentation. The course examines the importance of good record keeping. It looks at the records in a very practical way; who should write the records, when should the records be written, how much should you write, what should you write, what to include and what to leave out. It sets out what constitutes a health record and a legal document. The 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.

The course is very practical with the use of examples, real cases and practical exercises.


Delivery:
  • In house
Category:

Further Details

Key Learning objectives

· The nature and purpose of the records
· Impact of records on the quality of care
· Records in the context of risk management
· Professional and legal obligations

Accountability
· Who the health professional is accountable to; the four areas
· Sanctions that can be imposed
· Vicarious liability

Health records
· Primary purpose of records as an integral part of patient care
· Risk management; lack of time
· Best practice (what to include, what to leave out, how much to write, etc)
· Identifying common mistakes
· Safe systems of sharing records including electronic records


The evidential role of records and other documentation
· How the court considers the records against the patients view of events
· Other documents that may be used in evidence
· Professional and Legal scrutiny of records
· How records are considered by the courts and lawyers


This is the framework and all training is tailored to the group of delegates on the day, exploring any particular concerns they have relating it to their own areas of practice. The course is interactive with good use of real cases and exercises, including looking at a set of records, to illustrate the points.

Guide Price: £2,000 per day for up to 30 delegates