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Effective Reporting and Record Keeping in Health and Social Care Assignment

   

Added on  2020-10-22

7 Pages1046 Words173 Views
EFFECTIVE REPORTINGAND RECORD KEEPING INHEALTH AND SOCIALCARE

TABLE OF CONTENTSINTRODUCTION...........................................................................................................................3P8 Production of records regarding service user care for different service users.......................3P9 Different aspects of own management of service user records..............................................3M4 Process of maintaining records in own setting, ...................................................................4D4: Effectiveness of own completion of documentation ...........................................................4CONCLUSION................................................................................................................................5REFERENCES................................................................................................................................6

INTRODUCTIONThis section of the report focus upon the elements of an effective record keeping process. Alongwith it, the report will also cover basic laws related to medical record keeping process within ahealthcare setting.P8 Production of records regarding service user care for different service usersSurrey and Sussex has adopted several types of records' outlet for keeping the records ofdifferent service users for better accessibility. It has been found out that availability of differentformats for service users including elderly patients, children and critical patients is required(Gorst and et.al., 2016). An effective record keeping facilitates minimum work load and help inincreasing the efficiency and productivity of the entire task force.Here, Surrey and Sussexhospital has implemented all types of record keeping parameters for minimizing the burden andeases off their employees by minimum paperwork. This is possible only through adopting themethodology that focuses on clarity, conciseness, completeness. In regard to the same, this hospital administration has used software to keep details aboutall the patients under separate functional units.For instance, the first timer has to register itproperly and thus the next time, the patient has to only pay the amount and straight away meetthe doctor or attend the testing. This makes the functionalities at the hospital more accessibilityand convenient with an emphasis on giving more clarity in performing the jobs at hand.Additionally, a robust record keeping at this hospital is divided into two administrative units, oneis for the employees and the other one is for the patients. This involves complete informationabout the address, salaries etc. and the patients' data and information consists of treatment plan,medication information, doctors' remarks and others.Along with, Surrey and Sussex hospital hasdeveloped highly standardized recording system that are exploratory in nature and can easilyread basic information written in health record. P9 Different aspects of own management of service user recordsManagement of service users records within any healthcare setting can be done byadopting suitable laws applied to medical record management programs. Patients' records relatedto severe chronic diseases must be secured in a proper area. Hospitals must have an allotted areato store health records (Mastebroek and et.al., 2014). As per the record management guidelines,hospitals must a proper designated team to cater all record keeping procedures which mayincludes the clinical members and non clinical staff as well.

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