Physician involvement enhances coding accuracy to ensure national standards: an initiative to improve awareness among new junior trainees
Record Keeping Standards is a development led by the Royal College
of Physicians of London (RCP) Health Informatics Unit and funded by the National
Health Service (NHS) Connecting for Health. A supplementary report produced
by the RCP makes a number of recommendations based on a study held at an
acute hospital trust. We audited the medical notes and coding to assess the
accuracy, documentation by the junior doctors and also to correlate our findings
with the RCP audit. Northern Lincolnshire & Goole Hospitals NHS Foundation