Late entry disguised as contemporaneous
NCLEX-RN glossary · Management Of Care
Definition
The unethical documentation practice of adding information at a later time while making it appear as if it was recorded at the time of the event.
Late entry disguised as contemporaneous in plain English
Falsifies the medical record, leading to incorrect clinical timelines and high legal/safety risks during continuity of care. A common mistake is believing that 'correcting' the record to look neat is more important than identifying the note as a legitimate late entry.
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