Recurring concern
Unreliable RIO clinical-record functions
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Request correctionFirst reported 3 Mar 2015•Latest report 25 Nov 2024
What this concern includes
Includes failures in RIO clinical-record functions and directly associated workflows, including unclear or unreliable entry-timeliness requirements, inability to capture required clinical history, restricted access between RIO users or related systems, incomplete or poorly structured RIO forms, and failures that make relevant RIO information unavailable to staff.
Not included
- Excludes generic clinical-record deficiencies where RIO is not the deficient system.
- Excludes failures of other electronic clinical-record systems unless the assertion explicitly concerns RIO or its direct interface with RIO.
- Excludes failures to review or act on complete and accessible RIO information when the RIO system and its recording or access controls operated reliably.
- Excludes clinical-care, staffing or communication failures that are not directly tied to the safety-critical operation of RIO clinical-record functions.
- Reports
- 9
- Individual concerns
- 11
- Date range
- 2015–2024
- Stated actions
- 10
Distinct published reports
A report can raise multiple concerns
First to latest report issue date
Described in published responses
Reports over time
Reports over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
Concerns and responses across reports
Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.
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Concerns raised1
Failure of RiO and BTT teams to access each other’s clinical notes
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
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Action
Establish effective BTT staff access to the Trust’s RiO electronic health records system through documented procedures.
Stated by Oxford Health NHS Foundation Trust
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
Direct secondary-care access to BTT records is not provided, but shared records and BTT’s established RiO access are considered sufficient.
Stated by Oxford Health NHS Foundation Trust
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Concerns raised1
Failure to highlight high clozapine results in routinely used clinical notes
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
Existing ICE access, abnormal-result indicators and pharmacy reporting provide the strongest safeguards for recording and responding to high clozapine levels.
Stated by Birmingham and Solihull Mental Health NHS Foundation Trust
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Concerns raised1
Failure to flag key information on DHUFT RiO records
This report raised 11 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
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Action
Develop and publish RiO guidance explaining how to view, add and remove alerts.
Stated by Dorset Healthcare University NHS Foundation Trust -
Action
Update RiO training and provide a standalone e-learning module on using the alerts system, promoting it to existing users and staff.
Stated by Dorset Healthcare University NHS Foundation Trust
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
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Position
No further action is identified for RiO significant-event flags because their use already forms part of the Trust’s training programme.
Stated by Dorset Healthcare University NHS Foundation Trust
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Concerns raised3
Incomplete demographic information on RIO
Unclear timeliness standard for RIO entries
RIO records system displaying an older information-sharing form as the most recent
This report raised 6 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
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Action
Reinforce minimum demographic-information requirements and audit patient records monthly.
Stated by Avon and Wiltshire Mental Health Partnership NHS Trust -
Action
Amend and disseminate RiO guidance on editing or creating information-sharing forms.
Stated by Avon and Wiltshire Mental Health Partnership NHS Trust
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Concerns raised1
Failure to update the RIO system with telephone triage information
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Failure to record significant third-party information in Rio notes
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Lack of CRI access to Nottinghamshire Healthcare electronic patient records
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Failure of RIO to support complete recording and accessibility of patients' epilepsy information
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Actions described in response An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.5
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Action
Build and release electronic epilepsy assessment forms in OpenRiO for Learning Disability and other relevant Trust services.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation Trust -
Action
Communicate the OpenRiO release and explain use of the electronic epilepsy forms through Trust-wide, divisional and governance channels.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation Trust -
Action
Add a specific physical-health-risk prompt to the overarching RiO risk assessment form.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation Trust
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Action
Promote Learning Disability Service Specific Guidance for recording physical-health risks, including epilepsy, in RiO.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation Trust -
Action
Collate results from epilepsy, bathing-risk and physical-health audits to inform further improvements.
Stated by Hampshire and Isle of Wight Healthcare NHS Foundation Trust
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Concerns raised1
Failure to include the RIO reference on observation record front sheets
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
Responses linked to these concernsEach statement is shown once, even when linked to more than one concern.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
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Position
Individual NHS Trusts are responsible for developing and implementing patient observation policies appropriate to their patients.
Stated by Department of Health and Social Care
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Position
The observation record’s front sheet need not include the RiO number because the patient’s name and hospital number enable electronic record retrieval.
Stated by Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
Data last updated 7 September 2026