What is the appropriate action when a physician agrees to a patient's request to amend a medical record?

When a physician agrees to a patient's request to amend a medical record, it is crucial to handle the amendment appropriately to maintain the integrity of the medical record and ensure that the patient’s information is accurate and up-to-date. By putting the revision in the file alongside the original information, the medical record reflects both the amendment and the initial documentation. This approach preserves the context of the original information while providing a transparent record of the changes made.

Leaving the original information intact is essential because it provides a complete picture of the patient's medical history, showing what was noted previously and how it has been amended. Additionally, sending a copy of the amendment to anyone who received the original ensures that all healthcare providers involved in the patient's care are aware of the change and can make informed decisions based on the most current information. This practice aligns with principles of health information management, which prioritize accuracy, completeness, and the ability to track changes over time for continuity of care and legal purposes.