If you realize vital patient information is missing on your report after leaving it with the hospital, what is your best action?

Submitting an addendum with the missing information is the best action because it ensures that the patient’s medical record is both accurate and complete. When vital information is missing from a patient care report (PCR), it's crucial to rectify the situation to provide the receiving healthcare professionals with all necessary details that may impact patient care. An addendum serves as an official attachment to the original report, which allows for the inclusion of critical information while maintaining the integrity and traceability of the document.

This approach supports best practices in medical documentation and ensures that any subsequent care provided is informed by the most comprehensive information available. Additionally, a properly documented addendum will maintain clear communication with the hospital staff, aiding in their understanding of the patient's condition and treatment history.