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Forensic Medicine · Professional conduct
Sample itemWhat is the appropriate response when a clinician finds a material error in a medical record?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Correct it transparently with an auditable amendment
Medical records should be corrected transparently, preserving the original entry and documenting the amendment so the clinical and legal record remains reliable.
Option by option
A. Delete the original entry without trace
Deleting the original entry obscures the record.
B. Leave the error if the patient is discharged
Discharge does not remove the duty to correct material errors.
C. Correct it transparently with an auditable amendment (correct)
Correct: auditable correction protects patient safety and record integrity.
D. Ask another person to alter the note secretly
Secret alteration is unethical and potentially unlawful.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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