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If a medical assistant inadvertently documents inaccurate information in a patient's electronic medical record (EMR), which of the following is the next proper course of action?

a) Ignore the mistake and move on
b) Inform the patient about the mistake
c) Correct the mistake as soon as possible
d) Ask a colleague to handle the situation

1 Answer

1 vote

Final answer:

The correct action when a medical assistant documents inaccurate information in an EMR is to correct the mistake immediately, following the protocols of their healthcare institution.

Correct option is C

Step-by-step explanation:

If a medical assistant inadvertently documents inaccurate information in a patient's electronic medical record (EMR), the next proper course of action is to correct the mistake as soon as possible. This ensures the integrity of the patient's health records and maintains high standards of medical practice.

To address inaccuracies, the medical assistant should follow the specific protocol set by their healthcare institution for making corrections in the EMR, which often includes noting the correction, the date, and who made the change. It is also important to review the institution's policy regarding notification of the patient about the error.

User Stefano Zanini
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