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Legal issues arising in community nursing 7: record keeping.

B Dimond1

  • 1University of Glamorgan, UK.

British Journal of Community Nursing
|September 25, 2002
PubMed
Summary

This article explores community health record keeping, focusing on legal challenges like client record possession and central data management. It also addresses record access and clinical governance impacts.

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Area of Science:

  • Community Health
  • Legal Medicine
  • Information Management

Background:

  • Effective record keeping is crucial in community settings.
  • Legal complexities arise from decentralized record management.
  • Client possession of records presents unique challenges.

Purpose of the Study:

  • To examine record-keeping principles in community health.
  • To identify and discuss legal issues in community record management.
  • To explore future developments impacting community health records.

Main Methods:

  • Review of legal principles applicable to community records.
  • Analysis of potential problems in record keeping.
  • Exploration of access issues and clinical governance.

Main Results:

  • Record keeping in community settings involves specific legal considerations.
  • Decentralized record storage (client vs. central) creates potential conflicts.
  • Record access and clinical governance significantly influence future record management.

Conclusions:

  • Community health record keeping requires careful attention to legal frameworks.
  • Addressing issues of record accessibility and data security is paramount.
  • Adapting to evolving clinical governance standards is essential for effective record management.

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