Maintaining high-quality health records is integral to good patient care, and has a range of other benefits.
Whole-of-practice strategies for improving data quality in health records include:
- Developing policies and procedures
- Education and training
- Developing a baseline and measuring progress
- Creating an action plan
- Cultivating a culture of good data quality
GPs can improve the quality of their health records by entering structured data in the following fields of the patient health record:
- Allergies and adverse reactions
- Past medical history
- Reason for visit
- Reason for prescription.