Home Forums Discussions Problems Wrong chart??? Can you delete encounter?

I have a provider here that pulled the wrong patient and charted an OV in AC. I know this seems a bit strange, but is there a way to actually delete the encounter? I have been through AC and cannot find a way to do this? Has anyone else ever done this, if so, what did you do?

no, i don't believe you can do that. You would need to add an addendum to the chart explaining the error.

I didn't think you could either...

Why is it that we cannot delete a visit note? I understand the legal aspects of it I think, but it is not like you are changing one part of the note, but deleting the entire visit. In fact, it may cause more of a privacy issue when the one patient requests their records... it will include confidential information about another person, unless the "med records clerk" is extremely careful to read each chart note to see if they all apply, and even then they'd likely miss it.
I think it would be more appropriate to be able to delete a visit (via administrator action), but doing so automatically creates a message in the chart indicating that a note was deleted, by whom, and why.

I have wondered that myself. Exposing a record to an unintended party seems worse than saying "I made an entry in the wrong chart".

I couldn't agree more. It is ridiculous if it is a CCHIT thing because in the paper days you could just take a note out of the chart, so what is the difference? Are we such a suspicious group of people that steps need to be taken to be sure we don't cheat?

I am glad to see that I am not crazy in this notion. I am trying to keep my providers "in the know" since we are still new at the whole amazing charts thing.

Fully agree that you should be able to delete it.

Happened once to my wife after working on 6 charts. I had to rebuild her data from the previous day's backup and she started all over again.

As Bill already stated, in the paper charts, we just pull the wrong page out. No one is altering a record here.