Who can make a correction in the medical record?

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1194507

2026-08-08 03:35

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Corrections in a medical record can typically be made by the healthcare provider who authored the original entry, as well as other authorized personnel involved in the patient's care, such as nurses or administrative staff. It's important that any corrections are documented clearly, indicating the date, time, and reason for the change. Additionally, the original entry should remain intact to maintain the integrity of the medical record. Compliance with relevant regulations and institutional policies is essential when making corrections.

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