Author Question: Define universal chart order and explain the benefits of using this ... (Read 32 times)

schs14 · **on:** Jul 12, 2018

Define universal chart order and explain the benefits of using this order.

Question 2

At times, corrections need to be made in paper-based record systems. Explain the procedure for correcting an entry.

cdmart10 · **Reply #1 on:** Jul 12, 2018

Answer to Question 1

Universal chart order organizes the inpatient and discharged patient record in the same order. The universal chart order saves time in processing discharged patient records because reorganizing reports is unnecessary, as the record remains in the same reverse chronological date order at discharge as during inpatient hospitalization.

Answer to Question 2

Draw a single line through the incorrect information, making sure that the original entry remains legible. Date, time, and sign the corrected entry. Document a reason for the error in a location as close to the original documentation as possible (for example, entry made in error or entry made in wrong chart). Enter the correct information as close to the original information as possible. If the length of information to be newly entered prohibits this, enter the correct information in the next available space in the record and reference the original entry.