Tip #4: Is an Addendum or Correction OK?
The short answer is, yes, an addendum or correction is ok, and actually is needed to clarify the care or to correct misinformation. It must be clear, however, that your addition to your previous note is an addendum or correction. Avoid an addendum or correction that may appear self-serving or is not substantive. Never erase or destroy the original note in a record. If using an EMR, your initial documentation may still appear in the record in crossed out form, so any third party reading the record can still see the original documentation as well as the addendum or correction. Always note the reason for the addendum or correction and the date it was made (if not using an EMR).
Be sure to check your profession’s ethical guidelines on documentation principles. When you have questions, it is best to consult an attorney for guidance.
