This session covers the legal aspects of documentation and record keeping in healthcare.
Your role and the law
Legal aspects of documentation and record keeping
Professional guidance including duty of candour
Accountability & responsibility
Negligence
Understanding how complaints are dealt with
The need to keep records
The nature of a health record
Semantic usage & legal interpretation
Case law dealing with documentation
Who can document care of patients
Delegation of care
Subject access requests of their notes
Use of jargon
Alterations of documentation
Common errors in record keeping
Case studies to illustrate the breadth of documentation
