What term describes the documentation of missed information after an original entry in patient records?

The term that describes the documentation of missed information after an original entry in patient records is known as a "Late Entry in Charting." This term specifically refers to situations where a healthcare provider needs to document an observation, intervention, or any relevant detail that was not recorded during the initial entry but is pertinent to patient care.

Using a late entry allows the provider to maintain a complete and accurate medical record, ensuring that all relevant patient information is captured, which can be crucial for ongoing treatment and legal documentation. Properly noting a late entry is important because it clarifies to other healthcare professionals that the information was added after the fact and should be considered in the context of the patient’s care.

In contrast, an amended entry typically refers to revising existing information for accuracy, while a supplementary entry might suggest adding information that enhances rather than corrects the initial documentation. A corrective entry, on the other hand, generally pertains to correcting errors that have already been made.