<snip> So, given that, if one writes a progress note and says 30 mg of Zantac and meant 60 mg, they would strike through the 30 mg, write 60 mg above it, write the word "error" and then initial it. They wouldn't write an addendum at the bottom of the note stating I meant to say 60 mg. Now, it isn't the perfect analogy but pretty close.
I think (given what we have with AC and most EMRs), the closest to an audit trail when correcting would be to open the chart again with the original version, make a change which is adjacent to the error and time and date stamp it digitally with Shortkeys.
I SHOULD POINT OUT that this isn't the answer to the original question that Barb asked. Just a thought on how to correct a wrong note.
This sounds like an ideal solution! You're right, it's not the answer to my original question (rant) but it would work very well. The date stamp presents a clear audit trail, which covers the medicolegal angle.
We've gotten much better with the tablet input and checking to make sure the handwriting has been correctly transcribed. btw, a medical dictionary really helped with this!
