We layer the amended/addended report information at the top of the printed/faxed report. We do not allow for changing the original report, as that is a legal document. Further, if an amendment or addendum is needed and the report is faxed (with the new information on top), there is no confusion on the part of the receiving personnel. We do require that these reports explain the reason for the change or addition. The EMR will show both the original and the amended/addended report contents on a separate tab.
Best, Michelle On Nov 15, 2015, at 9:44 PM, ian bernard via Histonet <histonet@lists.utsouthwestern.edu> wrote: For us an amended report is just that; it is an amended report for a particular reason, namely for typographical or other minor errors and/or diagnostic changes and/or disagreements. Additional and new information (further testing/consults) is treated with an addendum. Once the error or information is corrected in the report, we disclaim in the report why the report was amended and indicate that the provider or clinician was notified of the amendment on a particular date and time if the amendment was significant. No need to confused the final product report with initial errors. This can lead to other errors. IB -----Original Message----- From: STEVEN PINHEIRO via Histonet [mailto:histonet@lists.utsouthwestern.edu] Sent: Wednesday, October 28, 2015 10:33 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Pathology amended reports I realize this is a broad topic but I am trying to get a flavor for best practices. When you issue an amended report, is the original 'removed'? Unlike the practice on the clinical lab side of leaving the first errant test result in place and issuing a corrected result, pathology (at least here) has felt there are more down side issues with leaving the wrong information in the patient chart. Your specific thoughts on the actual protocol used for amended reports issued in your practice is appreciated. Thanks Steven Pinheiro, MBA, MLS(ASCP)DLMCM Manager Anatomic Pathology and Cytology Loyola University Medical Center 2160 S First Ave, Bldg 110 Rm 2214 Maywood, IL 60153 708-327-2642 (O) 708-327-2620 (F) spinhe...@lumc.edu<mailto:spinhe...@lumc.edu> "You must do the thing you think you cannot do" E. Roosevelt Confidentiality Notice: This e-mail, including any attachments is the property of Trinity Health and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
