Record keeping

Question 1

What are the 6 basic rules of dental records?

Answer 1

(5Cs and an A)

Clear - Easy  to read/understand
Concise- To the point
Comprehensive - Full 
Contemporaneous - Written at time of event
Constrained- Focused not embellished
Accurate- Clincally correct/truthful

Question 2

What are the Caldicot principles?

Answer 2

6 business principles to manage patient data in the NHS

Question 3

What are the 6 Caldicot principles?

Answer 3

(Jama understand law)
Justify - What the data will be used for
Absolutely necessary _ only use data if needed
Minimum- Use min amt of data needed
Understand _ responsibility of holding data by all concerned
Law -Comply with data protection law

Question 4

How long should patient records be kept for?

Answer 4

Adult- No longer than 11 yrs after last txt
Child-No longer than 11 yrs after last txt or up to age 25 whichever is the longest.
Data protection/GDPR - Records should be kept no longer than necessary.
Dependent of indemnifier for the practise.

Question 5

What are the 7 key points of 1998 Data protection Act?

Answer 5

Fairies Specify Long Reigning Kingdoms Processed Securely transfered
Data is processed FAIRLY and lawfully
Data is processed for a SPECIFIC purpose
Data is kept no LONGER than necessary
Data is RELEVANT not embellished
Data is KEPT up to date
Data is PROCESSED in accordance with patient rights
Data should be stored SECURELY
Data should NOT be TRANSFERED out of European Economic area without protection
Applies to ALL companies in EU
A DPA is mandatory
Failure to comply results in heavy FINES
Subject to be informed of data BREACH in 72 hours
How data is processed must be included in consent.

Question 6

What is the name of the the updated version of the 1998 Data protection act.

Answer 6

GDPR May 25 2018

Question 7

List the 9 key features of the GDPR

Answer 7

A ECO PAIR
A ECO PAIR
right to ACCESS
right of ERASURE of records
CONSENT to be given freely
right to OBJECT
right to PORTABILITY of data
right to not be subjected to AUTOMATED decision making
right to be INFORMED
right to RESTRICT processing

Question 8

Is confidentiality applicable to a deceased patient?

Answer 8

Confidentiality goes beyond death

May only be breached by consent of a court of law ( police case)