During an audit of a paper medical record, the auditor finds a correction made using white-out. This method of correction is:

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The use of white-out to make corrections in a paper medical record is considered unacceptable primarily because it compromises the readability of the original content. Maintaining the integrity of medical records is vital for accurate patient care, legal documentation, and regulatory compliance. When white-out is used, it obscures the original information, which can create confusion and prevent clear understanding of the previous entries. Regulations and best practices emphasize that any corrections should maintain a transparent audit trail, allowing all users to see what was originally documented and what changes have been made.

Typically, acceptable correction methods involve striking through the incorrect information, writing the correct information next to it, and initialing the change. This leaves a clear record of what was changed, why it was changed, and who made the change, thus ensuring that the medical record remains complete and comprehensible. Utilizing white-out does not uphold these standards, as it does not provide a clear audit trail, which is essential in the medical record-keeping process.

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