Home Forums Discussions Problems leapfrog (for depression)

We are 2 clicks from disaster. Let me explain. My physician's assistant had a patient with a medication list as follows: Elavil, Flector patch, Lexapro, Symmetrel, Ultram, Zonalon. Somehow it snuck past proofreading. I will spare you the puzzle of what happened, but you can try it yourself: With these medications in the medication list of a practice patient, push the F7 button (to invoke spellcheck) and then press "change all". Apparently my PA may have done this by accident. Very scary. Initially I thought this was an April Fools' Day joke, or even a weird database error, but it was simply spellcheck on a rampage. a call to technical support confirmed that it was not Amazing Charts bug. Any comments? Is this "spellcheck utility" part of Amazing Charts or part of Windows?

Heavily
Lector patch
Leapfrog
Symmetries
Ultra
Zonal on

OK, interesting, but I am still failing to understanding quite a few things. There are some interesting things to note here. First, if you then double-click in the Current Medications box, they all return to the original correct selling. Second, if you click on the Write Scripts icon to prescribe, they all revert to their original correct spelling.

I guess I fail to see where you were two clicks from disaster. Please explain that to me.

Also, whether you use change all or change, you get the same result. Change all would only change all of the one "word in question" throughout that window. The other part I don't understand is whether you are using an extremely good spellchecker like the one used in Word or a slightly less stellar version like Wintergreen, Inc. used in AC, I never just blindly accept the alternative. Does your PA not look at the suggestion? This is why there is an "Add" feature in spellcheckers. When the word is Lexapro or Symmetrel, of course, the spellchecker (if not Stedman's Medical version) is going to flag it and try to change them to something like Leapfrog. What the computer suggests in 1s and 0s from 0s and 1s are comical, but that is all.

Anything you change in AC on Client 1, will be reflected in the userdic.tlx file on THAT particular computer, not on the server. So if you add Lexapro on your computer as a correctly spelled word, it will still be flagged and Leapfrog will still be suggested on all of your other computers. You can copy and paste all of the additions in each userdic.tlx file to all of the clients every month IF you use spell check a lot. Also, when the spellchecker is open, you can click on dictionaries and/or options at the bottom and make some changes. There are also your ssceam.tlx, sscema.tlx and tech.tlx files some of which contain 1,000 words, which are deemed to be the most common words and are generally left alone.

I think the actual changes occur somewhere within the program, altough I have never really figured that out yet.

CAVEAT: Since you did not give the punch line or what appeared to be a "weird database error," I am not sure what exactly happened on your end. I would be rather interested to know.

To answer your questions, AC does have a spell check utility from Wintertree, inc. http://www.wintertree-software.com/

This is a fairly highly used program. Microsoft Office's spellchecker is most likely proprietary.

What is needed, besides having the added words populate the userdic.tlx on the server, is the ability to add an add-on with thousands of medical terms and medications. I am still trying to add Stedman's words to Wintertree's, but I imagine that would be a copyright or licensing issue.

On another note, and this is person choice, but I never use AC's spell check for all the reasons you cited. It is not very accurate and the user interface is not very clean. Plus, the staff that enter data into the chart make so many spelling errors that I have given up. I suppose they could do it, but then you get your issue.

Sorry, when I did the first post I was a little bit panicky. Let me give a little bit of background. Both my PA and myself use Dragon NaturallySpeaking for entry into Amazing Charts. Overall this works well and our office procedure is to have each note proofread by our medical assistants after the visit; any pertinent corrections are brought back for us to add an addendum, I would love to actually change it before signing off but this seemed to be too lengthy with the potential for lost notes. I proofread the assessment, plans and sometimes other information from my PA notes. I saw the weird med list above and wondered how it could occur. We do not intentionally use spellcheck, but somehow it must have gotten invoked, also somehow she must have clicked the change button. This case did not affect patient care in any fashion, but I would have been very embarrassed had we sent out the note with the oddball medications. Any idea how to disable spellcheck or possibly have Dragon dictionary be part of it? By the way, Bert, I am very impressed with your dedication and insight on this user board, you and others add quite a bit of value to the program.

mkweiss,

Thank you for the compliment. I can see you are quite dedicated to your notes being error free. I just tend to wing it unless I am doing some type of consultation which I occasionally do.

To turn off spell check, go to Edit on the main screen, then:

My preferences | User preferences | Documentation Preferences Tab | Spell Check

Hope this helps. I can't speak for DNS, but it is doubtful. You can't use spell check from Word, etc.

automatic spellcheck is off, I am wondering how to disable the F7 function.

As far as I know you can't. Why are you hitting the F7 function key?

F7 is latest encounter in AC. Don't know about DNS. If auto spell check comes on (I used to have a problem in an earlier version with it turning off) you can just hit control and U and this would give you the screen to turn on preferences.

F7 is context sensitive. When a chart is open, it invokes spellcheck. My PA must have pressed this UNINTENTIONALLY.

Wow, thanks, I did not know that. I may use that more often rather than wait to the end of the note.