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Systems of Record-keeping

Record-keeping

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In current dental practice, there are two methods of record-keeping: written paper records and computerised records. Practitioners may be familiar with using hand-written records, but increasingly practices use dental software packages with automated data collecting and charting options.

There are several advantages to using computerised methods of record-keeping. For example, keeping computerised records avoids issues surrounding illegible hand-writing and facilitates consistent recording of information if standard systems are used, both of which enable safe and effective shared care.

The use of computerised systems also provides an audit trail and a permanent record of patient care.