Royal College Of Physicians Medical Record Keeping Standards

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Generic medical record keeping standards | RCP London

https://www.rcplondon.ac.uk/projects/outputs/generic-medical-record-keeping-standards

This document sets the standards for general medical record keeping by physicians in hospital practice. ... Standards. These generic medical record keeping …

Standards for the clinical structure and content of patient …

https://www.rcplondon.ac.uk/projects/outputs/standards-clinical-structure-and-content-patient-records

The standards for the clinical structure and content of patient records were developed through extensive consultation to ensure that …

Standards in medical record keeping | RCP Journals

https://www.rcpjournals.org/content/clinmedicine/3/4/329

The HIU has reviewed the literature and is developing evidence-based standards for record keeping including the structure of the record. The first draft of …

Medical records and record-keeping standards | RCP Journals

https://www.rcpjournals.org/content/clinmedicine/7/4/328

Generic medical record-keeping standards are now available. The Health Informatics Unit (HIU) of the Royal College of Physicians has two work streams in this …

Record keeping audit tools | RCP London

https://www.rcplondon.ac.uk/projects/outputs/record-keeping-audit-tools

Tools to audit patient records against the record standards have been developed to support patient safety and quality of care, ... a previous version of the …

Evidence on the quality of medical note keeping: …

https://www.rcplondon.ac.uk/guidelines-policy/evidence-quality-medical-note-keeping-guidance-use-appraisal-and-revalidation

Generic Medical Record Keeping Standards 2 and 6 are the only standards that currently apply to outpatient records. Where the typed letter is the full record of the outpatient encounter, the written …

Medical records and record-keeping standards - PubMed

https://pubmed.ncbi.nlm.nih.gov/17882846/

The structure of medical records becomes ever more critical with the advent of electronic records. The Health Informatics Unit (HIU) of the Royal College of Physicians has two …