Which of the following is an example of improper documentation practice?

Prepare for the RHIT Domain 1 Test. Study with flashcards and multiple choice questions with hints and explanations. Get ready for your certification exam!

The choice reflecting an example of improper documentation practice is the obliteration or deletion of errors. This practice violates fundamental principles of documentation integrity and accuracy. Proper medical documentation serves to ensure a reliable and transparent record of a patient's care. When errors are obliterated or deleted, it creates an incomplete record that can lead to confusion, miscommunication, and potentially harm to patients.

Furthermore, deleting errors may raise legal concerns and undermine accountability within the healthcare system. It is crucial to maintain a complete and accurate record that reflects the care provided, including any corrections made to previous entries, so that all stakeholders have access to a truthful representation of the patient’s history.

On the other hand, labeling late entries, leaving existing entries intact, and ensuring legal signatures accompany corrections are all examples of appropriate documentation practices that promote transparency and legality in medical records. These actions support the integrity of documentation and enhance the trustworthiness of the healthcare process.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy