Records Management Processes
Implementing
and maintaining effective records management depends on the knowledge of what records are held, where
they are stored, who manages them, in what format(s) they are made accessible, and their relationship
to organisational functions (for example finance, estates, IT, healthcare or social care provision).
An information survey or record audit is essential to meeting this requirement. This survey will also help to enhance control over the records, and provide valuable data for developing
review and disposal policies and procedures.
There should also be audits of the content of clinical records.
The Royal College of Physicians health informatics unit developed an audit tool to support the implementation
of the generic medical record-keeping standards and it is available at http://www.rcplondon.ac.uk/resources/clinical-resources/standards-medical-record-keeping/audit-tool-generic-standards