What advice should be given to a physician who has just informed you that she just discovered that a significant portion of a discharge summary she dictated last month was left out?

Question

Quizplus · Accepted Answer

The best choice would be for the physician to dictate the omitted portion with a heading of "Discharge Summary-Addendum" and reference it with a note that is dated and signed on the initial Discharge Summary. This ensures that the complete and accurate information is included in the patient's medical record, and also provides a clear indication that an addendum was added at a later date. Squeezing in the information or re-dictating the entire discharge summary may cause confusion or errors. Option D is not a viable solution as it does not address the issue at hand.

What Advice Should Be Given to a Physician Who Has