Physicians occasionally have a need to correct notes or include addendums to medical record entries. However, when corrections or addenda frequently occur, it could raise red flags. Use the following tips if a record needs to be corrected:
- Make sure the original entry is legible.
- Write addendums separately.
- Indicate your initials and use a single strike for corrections made on the original sheet.
- Complete and correct notes in a timely fashion.
- Document when and why a physician changed the note.
Submitted by YSM Web Group on July 20, 2012