Clinical Audit on Record Keeping Standards at a Specialized Out-patient Child Psychiatry Service in Sri Lanka

Background: Accurate and up-to-date patient records are essential to ensure high standards of clinical care achieve professional from a medico-legal perspective. Objectives: This audit aimed investigate record keeping practices including documentation the evaluation, execution management plan confidentiality organization. Methods: Paper-based 250 outpatients were reviewed randomly using an evaluation form. Results: Although organization satisfactory, serious concerns identified regarding evaluation. Conclusions: The showed current record-keeping deficiencies, highlighting need for procedures policies.