The Record Keeping in Healthcare course provides essential knowledge on accurate, ethical, and compliant healthcare documentation. It emphasizes the importance of maintaining complete and secure patient records to support continuity of care, patient safety, and regulatory requirements. This course aligns with Terraleap’s commitment to delivering practical, standards-based healthcare education for modern clinical environments.

This course covers the fundamentals of healthcare record keeping, including clinical documentation principles, data accuracy, confidentiality, consent, and record retention. It also introduces electronic health records (EHRs), legal and ethical considerations, and best practices for managing patient information across healthcare settings.

By the end of this course, learners will be able to:

• Understand the role of record keeping in healthcare delivery

• Identify key components of accurate clinical documentation

• Explain confidentiality, privacy, and legal responsibilities

• Apply best practices for maintaining healthcare records

• Recognize common documentation errors and compliance risks

After completing the course, learners will be able to:

• Maintain accurate and complete healthcare records

• Support patient safety and continuity of care through documentation

• Demonstrate compliance with healthcare documentation standards

• Protect patient confidentiality and data integrity

• Contribute effectively to clinical and administrative workflows

This course is suitable for:

• Healthcare professionals and allied health staff

• Medical, nursing, and paramedical students

• Healthcare administration and front-office personnel

• MedTech and health information management professionals

• Individuals seeking foundational knowledge in healthcare documentation