Clinical records include a wide variety of documents generated on, or on behalf of, all the health grofessionals involved in patient care. This includes: Handwritten clinical notes. Computerised/electronic clinical records.

What is the meaning of clinical records?

Clinical records include a wide variety of documents generated on, or on behalf of, all the health grofessionals involved in patient care. This includes: Handwritten clinical notes. Computerised/electronic clinical records.

Why is clinical record important?

The records form a permanent account of a patient’s illness. Their clarity and accuracy is paramount for effective communication between healthcare professionals and patients. The maintenance of good medical records ensures that a patient’s assessed needs are met comprehensively.