What is the term for documenting missed information after the original entry in a chart?

The term "Late Entry in Charting" specifically refers to the practice of documenting information that was missed or not recorded at the appropriate time after the original entry. In nursing and healthcare documentation, it is important to accurately capture all relevant patient information for continuity of care, legal accountability, and quality assurance. A late entry serves to clarify and complete the patient record without altering the original documentation.

The rationale behind utilizing a late entry is rooted in maintaining the integrity of the patient chart while ensuring that all necessary information is conveyed to other healthcare providers reviewing the records. This provides a comprehensive view of the patient's care and helps to prevent any potential gaps in information that could impact treatment decisions. It is critical for healthcare professionals to follow established policies regarding late entries to ensure proper documentation practices are maintained within their facility.