Overview

This comprehensive and practical guide helps professionals and staff within hospitals change the way they collect record store and use clinical information about patients. It illustrates how clinical governance and evidence-based practice can be easily addressed by modernising clinical information practice to benefit patients and improve staff and service efficiency. As well as helping organisations define and establish improved systems this book is of continuing use for all healthcare professionals who make store and use patient records. 'High quality shared record keeping is recognised as being fundamentally important to good patient care. This book offers an excellent practical approach to addressing the changes needed in clinical record keeping to support improved patient care clinical governance better management information and the move towards electronic patient records. It brings together a strong clinical focus with the informatics principles needed to support a successful move to modern record keeping.' Yvonne Baker and Tricia Woodhead in the Foreword It will be a useful guide for clinicians and all other health professionals dealing with clinical information.