Benjamin, I am not sure you should necessarily blame the MA.
I have occasionally been missing comments on signed off labs from the get go, ( Started using AC 4.0.60 about 3 months ago, and now am on 4.0.72). The problem ( pretty frustrating) is intermittant and therefore pretty hard to pin down. I have seen several different comments in different threads related to this.
It is a real safety problem, just today my MA asked me about a patient with moderate dysplasia whose path report was in the chart signed off but no attatched comment. ( I remember that I had sent a "sign-off and send" to the MA that the patient needed treatment when I saw the path report.) Sometimes my messages from the lab sign off goes to their deleted box instead of their in-box, I have taken my lap top over to their work station and watched this happen. The person whose messages are most likely to go to their deleted box is the person working on another lap-top that is not hardwired to the domain. My Tablet is the only computer that is still not on the domain ( for reasons that I won't bore everyone with) and is functioning from an older network setup that my office had been using for more than 10 years . I have not pressed my problems with "lost stuff" with AC support because I have been attributing it to network problems at my site.
So, I have noticed at least 2 problems: 1)sign off messages are "lost" because they do not go to the in-box of the recipient. 2) The sign off comment is not on the lab when you subsequently open it up in the imported files section. I have not stopped to see if this might be that comments attatched by "sign off and send" get lost as opposed to comments attatched to simple " sign-off".
In early July I had set up the lab interface with Quest to import labs directly trying to eliminate the step of having someone in my office scan in the lab report, but Iwas having so much trouble with lost messages attatched to the lab reports that I turned the interface off. The problem decreased but definitely did not stop.
If someone else is using direct reort import from Quest ?? are you having any problems with the interface?? I think the problem is in AC not the interface. I notice that the post from HIFM is interfaced with LabCorp not Quest.
