Reporting and Recording Service User Care Using Digital Technology

This report examines the application of digital technologies in the preparation and management of medical records for service users. It explores the benefits of incorporating technology, such as improved efficiency and accuracy, and discusses the advantages of involving service users in the ...Read More

Use of technology in
reporting and recording
service user care (LO3 &
LO4):

Introduction
Use of technology in recording and reporting
Benefits of involving service users
Preparation of records regarding service
users
Different aspects of own management
Conclusion
References
Table of Contents

Presentation is based on use of digital
technologies in preparing medical records
which could help medical organizations in
keep recording of their service users and
produce whenever requires.
Computation of patient medical records has
expanded to a moderate level and this model
appears to continue, particularly as innovation
develops and proves more rational and like
the interest in increasing data on medical
services.
Introduction

On the off chance that in the future, patient
medical records are just mechanical changes
to most routine records, however, an event
will occur that will cause significant medical
care funding to be lost. For example, in the
Patient Registry of Upcoming Events, the
board looks for quick access to a range of
current cases, clinical philosophy journey,
patient well-being status, and up-to-date data
on different treatment options for the
patient's condition.
Use of technology in
recording and reporting

Thus, the automation of patient record
retrieval, maintenance and use of the patient
record are important, though not appropriate,
for improving registration. Given the current
and growing nature of the PC and the growing
perception of medical care, the committee
accepts that it can, and will, create a record
the patient to meet growing needs in the field
of medical care. This section identifies the
symptoms of future patient medical records
needed to address these issues, examining
some of them in detail to determine the
extent and inconsistency of cases you may be
Continue……

In general, continuous records are
coordinated with the sources and order of the
information (Feinstein, 1970), although some
selective table designs have been created. For
example, the problem medical record (POMR)
is collated from the patient’s complications to
help provide a more coordinated approach to
clinical critical thinking and counseling. The
Chronological Synopsis (STOR) is an
outpatient medical record framework that
contains an accurate collection of patient
medical information that can be used both in
relation to the routine medical record or
Continue……

The nature of a patient registry or medical
record framework depends on its ability to
address user problems and needs. These
clients include, however, not only doctors and
surgeons who care for patients. The council
followed three standards recommended by
the Relentless Quality Improvement Model to
build its vision of a better patient registration
and registration framework: (1) customer
identification; (2) understand their needs; and
(3) define these prerequisites in the practical
merits of the framework.
Benefits of involving
service users

The advisory group has strongly identified
patient record users as those who enter,
verify, correct, break down or retrieve data
from the registry, either directly or through an
intermediary. Each client of the last patient
record helps to understand the consideration.
However, they differ in how and why they use
the card.
Customers are people, but they usually use
their skills to interest the premises. The user
summary is an example of the broad
summary and shows the wide reach of clients
and situations where silent records are used.
Continue……

Full publication of client medical records and
individual requirements for each was too
expensive for the board. As a result, it
identified five important customer classes that
it considered to be the largest and largest
producers.
The first step towards improved registration
is a close assessment of users on the patient’s
record, accessible progress to create and
maintain it, and the barriers to updating. With
this in mind, the Institute of Medicine of the
National Academy of Sciences (IOM) has
conducted a study to prescribe improvements
Continue……

1.Patients clinical record
Preparation of records
regarding service users

2. Individual staff records
Continue……

3. Ward Records
Continue……

4. Administrative records
Continue……

Different aspects of management record
keeping:
Service users’ records
Employee records
Health and Safety records
Quality Assurance
Different aspects of own
management

Medical records, including patient identifiers,
and information for any patient or subject's
decision, expectation or treatment, are
displayed worldwide and must be submitted
for advance approval was performed by the
patient or subject for whom the record is kept.
Some exemptions vary from country to
country and deserve to be subject to
important public legislation. For example, law
in the United States suggests that medical
records may be shared without consent; to
the extent it is important to treat a health-
related emergency, with other clinical experts.
Conclusion

Mathioudakis, A., Rousalova, I., Gagnat, A.A.,
Saad, N. and Hardavella, G., 2016. How to
keep good clinical records. Breathe, 12(4),
pp.369-373.
Pullen, I. and Loudon, J., 2006. Improving
standards in clinical record-keeping. Advances
in psychiatric treatment, 12(4), pp.280-286.
Zegers, M., de Bruijne, M.C., Spreeuwenberg,
P., Wagner, C., Groenewegen, P.P. and van der
Wal, G., 2011. Quality of patient record
keeping: an indicator of the quality of
care?. BMJ quality & safety, 20(4), pp.314-
References

Thank
You