Good Clinical Documentation
  • Helps to improve accountability
  • Shows how decisions related to patient care were made
  • Supports the delivery of services
  • Supports effective clinical judgements and decisions
  • Supports patient care and communications
  • Makes continuity of care easier
  • Provides documentary evidence of services delivered
  • Promotes better communication and sharing of information
  • between members of the multi-professional healthcare team
  • Helps to identify risks and enables early detection of
  • complications
  • Supports clinical audit, research, allocation of resources and
  • performance planning
  • Helps to address complaints or legal processes