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How Is A Correction Made To An Electronic Health Record

March 6, 2023
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Introduction

The use of electronic health records (EHRs) has brought numerous benefits to healthcare providers including improved efficiency better patient outcomes enhanced data security. EHRs are a digital version of a patient’s medical record can be accessed by care providers anytime anywhere. However errors in EHRs can occur it is crucial to know how to correct them.

  • Introduction
  • Identifying Corrections to be Made
  • Authorizing Corrections
  • Making Corrections
  • Review Approval
  • Conclusion

Identifying Corrections to be Made

Before making a correction in an EHR it is necessary to identify the error first. If the error is related to the patient’s demographic information such as their name address or contact information the correction can be made quickly by updating the information in the patient registration system.

Authorizing Corrections

If the error is related to the patient’s medical record such as inaccurate medication dosage a new diagnosis or a miscommunication in the progress note the correction will need authorization. This authorization process involves checking if the individual making the correction is authorized to do so if the correction has a valid reason.

Making Corrections

Once the correction is authorized the next step is to make the correction. In most EHRs the correction is made in the form of an addendum. An addendum means adding new information to the patient’s record while keeping the original record intact. The original record will still show the previous entry or note but with a notation indicating that a correction was made.

Review Approval

After making the correction in the EHR it is necessary to review the change to ensure that it is accurate complete. Once the review is over the correction can be approved signed off by the authorized care provider. It is essential to note that the individual making the correction is legally responsible for the accuracy of the information that was modified.

Conclusion

In conclusion errors in EHRs can occur can lead to potential harm to patients. It is necessary to identify correct these errors promptly to ensure patient safety proper healthcare service delivery. The process of making corrections involves identifying the error authorizing the correction making the correction in the form of an addendum reviewing approving the change legal responsibilities. The methods of making corrections in EHRs are integral in ensuring patient safety good healthcare service delivery.

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