I must say that this has been the biggest difficulty that my office, including me, is having with AC. In my normal work flow I use Dragon to enter the note, then send it my secretary who proof reads it and sends it back to me for signing. This may take a day or two for complete turn around. We have lost numerous notes in various stages of completion due to errors in knowing just where the chart is and whether we are working on the original or a copy. It seems to get more confusing when we someone tries to retrieve the chart in order to add imported items, etc.
This situation has become worse because we have become somewhat paranoid about deleting the charts that are in our inboxes and thus have even less clue which is the real chart.
I don't know if it is just us, but this seems overly complex in AC. I know of other EMRs that place such notes in a "notes in progress bin" but that allows everyone to access the rest of the chart even is the note is not competed.
