Source Documentation and Data Integrity
Decisions against the published standard. Your practice record builds here, private to you.
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On Wednesday you find that Monday's Larkspur visit note was never written. You remember the visit well: the participant was fine, vitals were normal and you gave the diary. The monitor arrives on Friday and the note is the first thing she will open. A colleague suggests you write it now and date it Monday so the file looks complete. What do you do?