An Introduction to Summarising Medical Notes – 26th March 2024, 09:30 to 11:30.

With Learning and Development Centre Education Facilitator, Sarah Stapleton.

Aim of the Course:

 To provide delegates with the knowledge and understanding of how to summarise a medical record, understanding the importance of an accurate historical record.  They will be guided through the process of how to organise the medical record being confident they are summarising correctly and in line with the Good Practice Guidelines for Electronic Patient Records, V4, 2011.

Key Objectives/Agenda:

• What is meant by “summarising” – its significance and purpose in primary care

• A suggested guide to the summarising process

• Common pitfalls when summarising

• Quality assurance

Course Overview: 

This workshop will look at what we mean by ‘summarising’ – its significance and purpose in primary care.  A suggested guide to the process of summarising will be covered by the session, enabling best practice to be achieved.    The session will also look at some of the common pitfalls when summarising and offer various hints and tips as to how to achieve high quality standards and produce data fit for sharing.  The course will help to raise awareness of the importance of accuracy along with the legal and professional requirements to have an accurate historical patient record.  We will look at how delegates can put in place quality assurance measures to give confidence to the summarisers, especially when new to the role.

If you are not able to attend this session please cancel your place in advance via your Learning and Development Centre account so that a place can be made available for another delegate. To cancel a booking please log into your Learning and Development Centre account, go to the Centre course list and click on the orange box next to the course name.

All delegates must have their own booking made through the Learning and Development Centre website to join the meeting.  The name on your Zoom account should be recognisable as the name on your booking.  If we cannot identify delegates they may not be admitted to the session, or certificates may not be issued after the event.

It is expected that you will attend the session virtually from a quiet location at which you will not be disturbed, and you will have access to a microphone and camera on your device.  Every delegate must have their own device to use throughout this session.  This is a requirement for attending this interactive course.

If you have any queries please contact us! ldc.sentinel@nhs.net