What’s the same?
All health care professionals must comply with the Personal Health Information Protection Act, 2004 (PHIPA) when making corrections to records. Corrections can be made when new information is received or at a patient’s request.
All Colleges indicate corrections can be made as long as the original content is preserved. The person making the correction needs to be identified along with the date and reason for the correction. This practice maintains accountability for the change.
Not all college standards include specific information about making corrections. It is still necessary to comply with PHIPA and maintain original content and accountability.
When Willow Pines implemented the electronic patient record system, the practitioners there made sure that there was a method to track who makes a change to a record and when, and that a copy of the amended information was kept visible.