A few older motherboards had a trimmer capacitor to tweak the RTC oscillator frequency. You can either do it using a frequency counter (recommended), or turn it a bit at a time, and see if the clock gains or loses time. The usual oscillator frequency is 32.768 KHz.

If you have decent soldering skills , you could try replacing the RTC chip (may be socketed!) or oscillator crystal (if not integrated into the RTC).

A software workaround if you are running Windoze XP is to go into the time settings and enable automatic synchronization, and set it to do so every hour or 2, so the time drift becomes less noticeable.