I guess what I was getting at is if you have some type of grace period or any length of time to change or modify things in a progress note, you will have to have a very good audit trail.

While it is easy to doctor (sorry for the pun) a paper progress note, it is evident and we were always taught to use one line only to scratch through it and then write the word error above it and initial or sign. If one had no audit trail and had even hours to change notes, there could be issues with doctoring notes.


Bert
Pediatrics
Brewer, Maine