That's the whole point of EHR isn't it? besides quality of care, yes, but many many people are adding it because they HAVE to. Lost notes leave no "paper trail" and would seem to put you in a most vulnerable position.
If you make a backup everyday, maybe the lost note/addendum (at the very least) can be found in a previous backup? I would like someone to check that next time he/she loses a note.
This is why it is so important to make backups that go back days to weeks. If you don't notice you lost the note until three days later, having one backup will do you no good. In fact, I am willing to bet that having multiple backups for this kind of issue is more important than for a crash.
Also, am wondering whether notes are lost on the "main" machine or just from client machines? It would probably be useful to those who are trying to fix the bug to know the exact setup and circumstances under which this occurs.
I should never say never, but notes can ONLY be lost from the main machine. It is the main machine, because the database is on the main machine and anything you save is saved to the main machine's database. You shouldn't even have SQL Server on your clients, so you have nowhere to save your data locally anyway.
I noticed that today when I added a new patient on a network computer and wrote up an new patient note, this was not reflected in AC on the main computer. I had to get AC to refresh/reload the database on the main computer to get the new data to show up.
Peter, can you explain step by step what you are doing? When you write up a note or add a patient on any client computer, it is saved immediately to the main computer. You can't save a note to your local client computer unless A) you have installed SQL Server's database on that computer and B) your AC client is incorrectly pointing to that database in which case none of the data from that computer would be on the main computer whether you refresh or not. I am confused.
