National Standards for Medical Record Keeping. Health Informatics Unit. Overview. Reasons for standardising medical record content Work of the RCP on standards and related resources Implementation Scenario with discharge standards Audit Tools. Why standards for medical notes are important.
National Standards for Medical Record Keeping
Health Informatics Unit
Mala Bridgelal Ram
Project Manager for Record Standards
Two months after that, the patient is re-admitted to hospital having collapsed due to fast atrial fibrillation. Blood tests show acute renal failure with severe hyperkalaemia and metabolic acidosis.
The patient requires admission to ITU for urgent dialysis.