Unit 3 Quiz Case Study

1. Should corrections be date and time stamped? According to the American Medical Association, all medical records should be date and time stamped and should identify the corrector or the person that is making any changes of any sort. First, the individual making the correction needs to identify him or herself as having authorization to do so. Secondly, any corrections need to contain the date and time they took place so that if any questions were to arise they may be better referenced. Finally, all changes to a patient’s medical record must contain a list of people to notify of the changes. All of these steps are necessary without exception to protect the accuracy of a patient’s medical record.

2. When should a patient be advised of the