Describe how a paper, hybrid, and electronic health record are corrected. Then create and give an example of a corrected paper record

Respuesta :

The right error repair processes must be followed when a mistake is made during the entering of a medical record.

  • Enter with a line across it. Verify that the incorrect information can still be read.
  • Date and sign off on the entry.
  • Indicate the error's cause.
  • Keep accurate records of the information. The right information may need to be entered on the following line or space, noting the current date and time, and referencing the wrong entry if the error is in a narrative note.

The same fundamental principles should be followed when fixing a mistake in an electronic or digital medical record system.

  • Once the input has been made or authenticated, the system must be able to track corrections or modifications.
  • The original entry should be readable, the current date and time should be recorded, the person making the change should be recognised.
  • The reason for the change should be stated when making corrections or changes to entries in electronic medical record systems. When a physical copy of the electronic record is printed, the hard copy must also be rectified.

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