Online Documentation and Recordkeeping Courses and Training - CPDUK Accredited 

Record documentation creates a means of communication between providers, providers and members about health status, preventive health services, treatment planning and care delivery. The purpose of complete and accurate patient record documentation is to foster quality and continuity of care.

Click here for Online Documentation and Record-Keeping – Online Course – CPD Certified.

These documentation and recordkeeping online courses cover the basics of ensuring records are documented fully and in a timely manner so that it complies with both legal and organisational requirements.

Click here for Online Documentation and Record-Keeping – Online Course – CPD Certified.

Recordkeeping refers to the maintenance of one's activities by entering data in ledgers or journals and putting documents in particular files.

The purpose of recording a document is to provide a traceable chain of title to the property. Thus, recording property interest in the public records effectively gives notice of ownership to the general public.

Documents and records may sound alike, but there is a big difference between the two. Documents are created by planning what needs to be done and records are created when something is done. While documents can change, records must not change.

Documentation is a set of documents provided on paper, or online, or on digital or analogue media, such as audio tape or CDs. Examples are user guides, white papers, online help, quick-reference guides. Paper or hard-copy documentation has become less common.

Good recordkeeping ensures that you are able to comply with a range of legislation and prevent legal challenges arising. It is a very powerful risk mitigation tool. Without records, your organisation and your clients are at risk.

Record management refers to a set of activities required for systematically controlling the creation, distribution, use, maintenance, and disposition of recorded information maintained as evidence of business activities and transactions. The keyword in this definition is “evidence”.

There are different types of records, such as:

The types of records management are as follows:

The purpose of documentation is to describe the use, operation, maintenance, or design of software or hardware through the use of manuals, listings, diagrams, and other hard- or soft-copy written and graphic materials.

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The main methods of documentation include the preliminary survey, the narrative description, the administrative notes, photography, sketching/diagramming, and the evidence recovery log. Each of these methods is part of a comprehensive approach to effective documentation and recordkeeping.

The three main types of records are as follows:

The following steps will help you create a simple recordkeeping system:

Good recordkeeping is a vital aspect of a health and social care professional’s role, and a fundamental part of nursing (NMC 2010). In a legal sense, documentation and recordkeeping also intends to help nurses and other healthcare professionals.

Keeping good records is very important to a business. Good records will help monitor the progress and prepare financial statements.

The objectives of good documentation and recordkeeping are as follows:

A manual system is a bookkeeping system where records are maintained by hand, without using a computer system. Instead, transactions are written in journals, from which the information is manually rolled up into a set of financial statements.

The methods for good recordkeeping are as follows:

Documentation includes various types of tools, such as narratives, flowcharts, and data flow diagrams.

A documentation generator is a programming tool that generates software documentation intended for programmers (API documentation) or end-users (End-user Guide) or both, from a set of source code files and binary files.

Good document processing includes the following steps

Poor records management can lead to systemic issues such as wasting excessive amounts of time sorting through messy filing cabinets, using valuable office space to store paperwork, and forcing the company to pay premium prices for document storage.

Records management is the system used to control an organisation's records from the creation of the record until the record is archived or destroyed. A records management process is comprised of identifying records, classifying records, and storing records, as well as coordinating internal and external access.

These are the benefits of setting up a good records management program in your office:

On successful completion of the online documentation and recordkeeping courses and training will be able to download, save and/or print a quality assured continuing professional development (CPD) certificate. Our CPD certificates are recognised internationally and can be used to provide evidence for compliance and audit.

The CPD Certification Service (CPDUK) accredits all of our statutory and mandatory training courses as conforming to universally accepted Continuous Professional Development (CPD) guidelines.

The Mandatory Training Group is the leading UK provider of accredited statutory and mandatory training courses for all sectors, including health, safety and wellbeing, social care, education, local government, and many more.

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