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#10191 08/07/2008 1:46 PM
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is there a way to autorefresh so we know when a new message appears, right now i have to click the message button every time to refresh.


prkrishnan
prkrishnan #10254 08/12/2008 1:17 PM
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I agree. On that same note, there is no auto refresh feature for the shceduling function, so unless I refresh my schedule several times each day, I have no way to know if a patient was added or cancelled. It's very frustrating, I agree. Perhaps we need to add this to the 'problems' section.

msw #10261 08/13/2008 1:16 AM
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Auto-refresh has been talked about and is one of the greatest weaknesses in Amazing Charts. This would have to be changed in a new version.


Bert
Pediatrics
Brewer, Maine

Bert #10266 08/13/2008 7:54 PM
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Send it to the development team as a suggestion and email the big man, that way it gets in front of the right people....


"Beware of the Medical Industrial Complex"
"The Insurance Industry is a Legalized CARTEL"
hockeyref #13173 03/23/2009 5:43 PM
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Is there a way to refresh AC in general? I noticed that if a new patient is added by the front desk or if I add a new template, it won't show up unless I close out of AC and open it up again.


Bill Leeson, M.D.
Solo Family Medicine
Santa Fe, NM
Bill #13178 03/24/2009 12:43 AM
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Yes, just hit the messages button at the top and your messages are refreshed.


Wendell
Pediatrician in Chicago

The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them
Wendell365 #13185 03/24/2009 1:05 PM
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Just an observation but when new messages arrive to your inbox the the number in the message count in the upper left blue box (right under the number of patients scheduled) turns red.


Bruce.
Internal Medicine (and some Pediatrics)
North Central Ohio
Wendell365 #13190 03/24/2009 2:09 PM
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Bill,

I find it rather hard to do, because the "fix" seems to happen no matter what. And, maybe I am misunderstanding your question. But, if my receptionist adds a patient, and I then "back out" of the patient in the patient list, the new patient will show up. I wasn't able to try it with no patient in the list, but you may have to begin typing the name, then back all the way out so ALL patients are now present. I don't think you have to restart AC.

At the very worst, you would only have to log off and then log back on.


Bert
Pediatrics
Brewer, Maine

Bert #13478 04/12/2009 2:18 PM
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Autorefresh is definitely needed.

Also having a default "save" instead of "delete" for encounters which are accidentally closed.


Vicki Roberts, MD
Family Medicine of Southeast Missouri
Sikeston, MO
vroberts #13480 04/12/2009 5:27 PM
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Yes! I've lost several notes. Usually its because I switch over to the demographics or summary page and then close it rather than switching back to the 'most recent encounter' tab. Even though I've made the same mistake several times, when I get to multitasking, it just happens. Even a pop up that says "are you sure you want to delete?" would be helpful.


Sky #13489 04/13/2009 2:05 AM
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Well, at least the chart isn't actually deleted until you close AC.


Bert
Pediatrics
Brewer, Maine

Bert #13491 04/13/2009 4:51 PM
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It isn't? I seem to recall seeing something about how to recover a 'deleted' chart before closing AC, but can't remember how to do so.

Sky #13517 04/14/2009 11:41 PM
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Bert's right. In fact, sometimes AC will ask us if we want to recover a note when the system crashes. This also works w/o a system crash. As long as you don't open any other notes you can open the last note backup and go on. I am like Sky, I often end up opening several other things before coming back to the last note and by then, it's too late.
Still wish the default was saving a note rather than deleting.


Vicki Roberts, MD
Family Medicine of Southeast Missouri
Sikeston, MO
vroberts #13518 04/15/2009 12:11 AM
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I think the real solution to the unintended deletion (I did one today - ouch!), is to allow notes to be saved back to the main computer's database as a "draft". Changes can be made by multiple contributors to the note, with everyone seeing changes, before it is finally signed off.

As it stands now, the only way to do this is to shuttle the chart back and forth between email boxes. I often end up with more than one version of the same note in my box.


John
Internal Medicine
vroberts #13519 04/15/2009 12:55 AM
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My understanding is this:

1. If you open a chart in your patient list, start charting, then delete it; it is gone as if you never started the note.
2. If you do the above and while it is open, you open another chart and ignore the error message that you will lose the note if you open another chart, you will lose that note if you open the other chart.

In neither of these two instances, will the chart end up in the deleted bin of your Inbox.

3. If you are charting and the program crashes, the not will hopefully be saved to a text file (on that computer -- not where the database is) and AC will ask you if you want to try to resurrect it upon opening. It generally works.

4. Anything that is in your Inbox (messages or charts which have been forwarded by your nurse or you) will be sent to the deleted bin if you delete them.

5. If you open a chart from your Inbox and then open another chart from the Patient List, you will not be given a warning that you will lose the chart (because you won't), but it will send the chart directly to the deleted bin.

6. If you do the above, but click No when it asks you if you want to delete the chart from your Inbox (which I never do), then if you open another chart, it will close the original one but keep it in your inbox, and it will not go to the deleted bin, because it was not deleted.

7. If you pull a chart from the Inbox and select Yes to delete it from your Inbox, and AC crashes, the note will be saved to your deleted bin. But, from my trial, it did not ask you if you wanted to resurrect it.

8. If you pull a chart from your Inbox and choose not to delete it from the inbox and the program crashes, when you reopen AC it will ask you if you want to resurrect it, and it will still be saved in your inbox. FYI, when I resurrected it, it did, but then I closed it on purpose and it asked me if I wanted to delete it. I did, and it did NOT go to the deleted bin.

Note: You would think 7 and 8 would be reversed as to the program's asking if you want to resurrect the note.

Everyone got it? smile

The moral of the story. Try not to pull other charts when you are in one. If you can resurrect a chart after a crash, go ahead and do so. I would probably temporarily send that chart to the Inbox until I know why it crashed. And, never, ever give up on a lost or deleted chart until you check the deleted items bin. Same with your messages. It's also not a good idea (not that anyone would) to close AC during the day as all deleted items will be flushed from the system.

Remember when you pull a chart from your inbox after your nurse sends it to you and you chart on it and sign it, the note is saved to AC, but it also saved to the Deleted Items bin. It will be there until ANYONE closes their AC.

Well, that's enough for now. That was so confusing to do that I cannot guarantee all of the information is correct, nor can I guarantee that AC will act the same way each time.

I would like to give special credit to Bill Gates, my fake patient, who endured numerous colds, bronchial infections, gastroenteritis, fevers and other various maladies as he was deleted, forwarded, signed, crashed, saved, retrieved and put through nearly every other machination possible.

Oh, and the answer is NO.....I have no life.


Bert
Pediatrics
Brewer, Maine


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