New standards designed to ensure that health records are properly named and indexed have been published by the Professional Record Standards Body (PRSB).
Developed in partnership with the Royal College of Physicians (RCP) Health Informatics Unit (HIU), the standards ensure that records can be easily found when needed, particularly in an emergency.
At the moment information about a person’s previous care may be held on a number of IT systems, brought together as a patient’s digital record. In their efforts to create a full set of digital notes, many trusts are also scanning historical paper records into digital files. As a result, these are often hard to navigate or difficult to retrieve from the system, increasing the risk of errors.
The document naming standard will ensure that records are properly named and indexed, so they can be retrieved in order to provide ongoing care. It will enable clinicians to compare and contrast previous test results, scans and other information, and patients won’t have to repeat complicated medical histories.