Safe Documentation and AI Risk

This live 3-hour webinar for admin and reception staff explores the essentials of safe documentation in primary care, alongside the growing risks and responsibilities linked to digital tools and AI-assisted systems. It supports staff to improve record keeping, reduce risk, and understand the importance of accuracy, confidentiality, and professional accountability.

Session overview

High-quality documentation is central to patient safety, continuity of care, and medico-legal protection. As practices increasingly adopt digital systems and AI-enabled tools, staff need to understand what good documentation looks like and where errors or misuse can create risk. This session offers practical guidance relevant to everyday administrative work.

Outline of the session

• Why safe documentation matters in general practice
• Common documentation errors and how to avoid them
• Writing factual, objective, and defensible notes
• Managing patient messages, requests, and follow-up actions safely
• Data protection, confidentiality, and access considerations
• Understanding the risks of copying, pasting, and automation errors
• AI tools in practice: opportunities, limitations, and governance concerns
• Practical examples of safe versus unsafe record entries

Lecturer: Dr Jay Verma GP