Patient Records: The Good, The Bad and The Ugly

All clinicians are trained to keep good records at Dental School. Time pressures often intervene, and bad habits are easy to acquire.

This course outlines:

  • The benefits of keeping good patient records
  • The pitfalls of keeping bad records
  • What can happen if it all becomes ugly and litigation is a consequence.

This course is suitable for the whole dental team.

Enrol today!

Patient records: The Good, the Bad and the Ugly

Keeping good patient records is vital to enable clinicians to provide a high standard of patient care and it is imperative for risk management.

Keeping comprehensive, accurate patient records is an integral part of being able to demonstrate that valid consent was obtained.

The GDC guidance is addressed to all dental professionals and states:

4.1.1 You must make and keep complete and accurate patient records, including an up-to-date medical history, each time that you treat patients, and

4.1.4 You must ensure that all documentation that records your work, including patient records, is clear, legible, accurate, and can be readily understood by others. You must also record the name or initials of the treating clinician.

This course will help you meet the regulatory requirements in good record keeping.

This course aims to help you understand and be able to demonstrate how to keep good records.

This course outlines:

  • The benefits of keeping good patient records
  • The pitfalls of keeping bad records
  • What can happen if it all becomes ugly and litigation is a consequence.

You will understand and be able to apply the following objectives into your work routine:

  • The regulatory requirements
  • FGDP(UK) guidelines and expectations
  • Why record keeping is so important
  • What constitutes good record keeping
  • What information should be included
  • Examples of poor record keeping
  • Audit
  • GDPR and record keeping
  • Retention and security of records
  • Benefits of working with a trained dental nurse.

A, D

Course Curriculum

  • Patient records: The Good, the Bad and the Ugly
    5 minutes
  • Why is keeping good patient records so important?
    5 minutes
  • A good dental record
    5 minutes
  • Evidence of thought processes
    5 minutes
  • What’s the worst that could happen?
    5 minutes
  • When it becomes ugly and litigation is a consequence
    5 minutes
  • The potential role of templates in poor record keeping
    5 minutes
  • The role of good records in preventing an adverse incident
    5 minutes
  • GDC Standards
    5 minutes
  • Care Quality Commission and NHS requirements
    5 minutes
  • The defence organisations
    5 minutes
  • Faculty of General Dental Practice (UK) FGDP (UK)
    5 minutes
  • What information should be recorded?
    5 minutes
  • What should be stored in the patient record?
    5 minutes
  • Regular patient records audits are very important
    5 minutes
  • Documents not considered part of the clinical records
    5 minutes
  • Patient records – Do’s
    5 minutes
  • Patient records – Don’ts
    5 minutes
  • Data Protection Act 2018 and the General Data Protection Regulation (GDPR)
    5 minutes
  • Legal requirements for personal data
    5 minutes
  • Personal Privacy Rights
    5 minutes
  • Right to access
    5 minutes
  • Confidentiality
    5 minutes
  • Retention of patient records
    5 minutes
  • Security of patient records
    5 minutes
  • Capture and record essential information
    5 minutes
  • The importance of building rapport
    5 minutes
  • The benefits of working with a trained dental nurse
    5 minutes
  • Benefits of team working
    5 minutes
  • Summary – Patient Records
    5 minutes
  • Pre-Question Advice Preview
    1 minutes
  • Patient Records – The Good, The Bad and The Ugly
    6 questions
  • Feedback & Reflective Learning Guidance
    5 minutes

Your course includes

 

Up-to-date information

Our course material is both current and relevant; verified by leaders in the dental industry.

Various media

We use a combination of text, imagery, videos and presentations to help you get the most out of this course.

Course downloads

This course features documents for you to download and use in your dental practice.

Post-course feedback

Upon completion of the course you are required to complete a short feedback survey.

Frequently asked Questions

When does the course start and finish?

The course begins when you are ready. Although the course duration is 60 minutes, you can work at your own pace, and your progress is saved automatically.

How long do I have access to the course?

After registering for the course, you have 365 days to access the course.

Does the course have a test?

Yes. There is a short assessment at the end of the course. You must achieve 80% or more to pass the course. If you do not pass, you have the opportunity to review the content and re-take the assessment when you are ready.

Does the course offer a certificate upon completion?

Yes. Upon successful completion of the course, you will be awarded a personalised certificate. This is saved to your personal dashboard. You can download and print this certificate when you require it. In addition, you are also credited with a digital badge that will feature in your personal dashboard.

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