Bruce, I like a lot of your suggestions. After a while, it is hard to tell when the program is working with our work flow, and when we have just adapted our work flow to its peculiarities. I almost never lose a chart note any more, but then I have just trained myself to always forward it to myself, just a conditioned reflex. Like hitting "cntrl-S" regularly in many programs, even if not necessary. Seems I should not have to have done that, but it is easier to train myself than to get the program changed. And, like you, I have no idea why AC can't let a decent word processor do its letter writing for it if it is too difficult to do it correctly themselves.

Last edited by dgrauman; 01/18/2011 11:45 PM.

David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands