RT Journal Article
SR Electronic
T1 The need for mandatory clinical recording standards
JF Clinical Medicine
JO Clin Med
FD Royal College of Physicians
SP 255
OP 257
DO 10.7861/clinmedicine.4-3-255
VO 4
IS 3
A1 Janis L Huston
YR 2004
UL http://www.rcpjournals.org/content/4/3/255.abstract
AB Current health information initiatives and targets set by the UK government have brought about a flurry of activity in the National Health Service to try to reach those targets. One target is to implement an electronic patient record system as a replacement for the present paper-based system of record keeping. However, this will not be an easy task; simply introducing information technology into an already chaotic system will only compound existing problems. This article highlights the gaps that must be filled before an electronic record system can be effectively implemented. The two major elements that are missing are mandatory clinical recording standards and a profession that is responsible for monitoring and enforcing those standards. Some examples of relevant standards for clinical recording are provided and the role of a health information management profession is described.