What action supports maintaining documentation integrity when you realize a mistake in the chart?

• A. Erase the error and rewrite the entry.
• B. Delete the entry from the chart.
• C. Leave the error as is to avoid drawing attention.
• D. Correct the error per policy and document the change; do not alter the original entry without authorization.

Answer: (D)

When a chart shows a mistake, the right approach is to correct it through the approved policy and document the change. This keeps the record trustworthy by creating an audit trail: others can see what happened, who made the correction, and when it occurred. It also safeguards patient safety and legal accountability, since the original entry remains part of the record and any change is clearly authorized and documented. Never erase or delete entries, and never alter the original note without proper authorization; following the policy ensures the chart accurately reflects the care given while staying transparent about what was corrected. If you’re unsure of the exact steps, refer to your facility’s correction policy or contact a supervisor.