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Characteristics of good documentation
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In your previous discussion, you may have identified some of the following key characteristics of good record keeping:
- All relevant information must be recorded
- All paper records must be legible, signed and dated
- Records must be contemporaneous, accurate and kept up to date
- Records must be written in plain English avoiding jargon
- Records must clearly distinguish between statements of fact and opinion
- Paper records if moved to a new location must be monitored and kept securely
In the next step, we will return to our fictional case study to see what the documentation can tell us about Sofia.
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