Charting Systems and Patient Records · CDA

What must be done when there is an error in a patient’s chart entry?

  1. Erase the entry or cover it with correction fluid
  2. Draw a single line through it, then initial and date
  3. Remove the entire page containing the erroneous entry
  4. Leave the incorrect entry exactly as it is, unchanged
Show answer and explanation

Correct answer: Draw a single line through it, then initial and date

Corrections should be transparent, with a single line, initial and date. This preserves the integrity of the record and maintains legal defensibility.

Difficulty: Medium Question 7 of 20

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