Theme 3 Flashcards
Why is record keeping important?
To make sure you don’t make mistakes with medication administering, allergies, religion, blood type, DNR, infection status.
How to keep confidentiality on computers
Change passwords regularly, log out, use trust email not personal, only share on a need to know basis
Why personal information is collected
To understand the patients needs
How is it stored and protected
Paper; locked away, electronically; encrypted
Data protection act 2018
Everyone responsible has to use info lawfully, fairly and keep it for no longer than necessary, kept confidential
When to share records
Safeguarding concerns, whistleblowing (concern about malpractice) and radicalisation concerns (someone’s views have been changed strongly)
8 caldicott principles
Justify the purpose for using confidential info
Use ci only when necessary
Use the minimum ci as possible
Access to ci a strict need to know basis
Everyone with access needs to understand responsibility
Comply with the law
Duty to share ci is as important as protecting ci
Inform patients about how their ci is used
What is the purpose of abbreviations
Standardisation
Easier to read
Quicker to write
What can be qualitative or quantitive
Data
What can be qualitative or quantitive
Data
What is qualitative data
Descriptive information
What is a quantitative data
Numerical information
Methods to collect data
Public database
Open ended questions
Research
Observations
