What should you do if you find a discrepancy in the patient's surgical history?

When a discrepancy in a patient's surgical history is identified, it is crucial to follow the established hospital protocol to correct the information. This approach ensures that the discrepancy is addressed systematically and appropriately, reflecting the standards and processes of the healthcare facility.

Hospital protocols are designed to maintain the integrity of patient records and ensure accurate information for optimal patient care. Following these protocols often involves verifying the discrepancy through collaboration with relevant staff, such as nurses or physicians, and may include consulting with the patient as part of the process to ensure that all changes are accurate and documented properly.

By adhering to the protocol, healthcare providers also mitigate the risk of introducing errors into the electronic health record and maintain a high standard of patient care. This systematic approach helps ensure that discrepancies are resolved appropriately, promoting patient safety and improving the accuracy of medical records.