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Record Keeping

Top Rated5(2 reviews)

Record keeping is a challenging concept and as the industry moves away from paper records towards digital records it is more important than ever to ensure that the records we keep are accurate and timely.

8 Modules1 hour
€169€0
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Record Keeping
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Learning Outcomes

What you'll learn

  • To be aware of the types of records you may be required to keep
  • To understand the legal and professional requirements to maintain accurate and detailed resident / patient records
  • To ensure that all documentation is recorded in a legible and indelible manner
  • To enhance your knowledge around the General Data Protection Regulation in relation to record keeping
  • To be mindful of the importance of the duty of confidentiality and appropriate storage of all records
  • To understand what actions to take if you believe there has been a data breach in relation to patient / resident or staff records
Healthcare trainingHealthcare training

Modules

  • The Principles of Record Keeping
  • Why do we keep records?
  • Types of documentation used in healthcare
  • Factors that contribute to 'good' record keeping
  • Access and ownership of records
  • General Data Protection
  • Legal Matters and Complaints
  • Summary
Healthcare trainingHealthcare trainingHealthcare trainingHealthcare trainingHealthcare trainingHealthcare trainingHealthcare trainingHealthcare training

Top reviews

DA

Daisy

User fromcare-learning

5

The training was very good and easy to understand the questions

Posted on 13/01/2026

KU

Kudzai

User fromcare-learning

5

wonderful

Posted on 25/04/2026

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Frequently Asked Questions

Accurate records support safe, consistent care, effective communication, legal compliance, accountability, and informed decision-making for patients and residents.

Records should contain accurate, relevant, timely, clear, and complete information about care, treatment, observations, decisions, and other necessary details.

GDPR requires personal information to be collected, stored, accessed, and shared lawfully and securely, while protecting individuals' privacy and confidentiality.

Records should be stored securely, with access limited to authorised individuals. Appropriate safeguards should prevent loss, damage, unauthorised access, or disclosure.

Report suspected breaches promptly through your organisation's procedures, provide relevant details, and avoid further disclosure while following data protection requirements.