Home Forums Discussions General Discussion Being able to edit anything

The inability to edit things in AC is absolutely miserable. It seems I should be able to go into "Admin" mode and edit a chart if needed.

My M.A. put the wrong vitals in a patient's chart. I did the note and signed it off. She realized this later but I can't edit it or even delete it.

Drives me crazy. Addendums suck for this because it doesn't show up in the vitals section. So I entered it in correctly and signed the note again. Now I have two notes on the same day. How do I know which one was correct?

Some silly medico-legal crap. But it sure was easy to go back and fix a paper note.

Travis,
I wholeheartedly agree. While there certainly may be some "medico-legal crap" (as you so accurately put it) behind this, there ought to be completely legal fixes that could be incorporated into AC. The simplest is to be able to "strike through" an error, as you would on a paper chart. To the untrained computer user, this doesn't seem like a major programming challenge. Maybe I am wrong.
There may be issues- or maybe not- with doing this within individual fields (like vital signs). At the very least let us "draw a line through" an entire note so we can easily see that it contains errors and should no longer be used as a reference. Since it is so easy in AC to use a note as a template, even redoing an entire note would be worth it to be able to strike out an error.

This is enough of an issue that I would hope it is on the short list of things to fix in upcoming versions.

I agree with you guys! I have asked for this before, but not sure if it is on the list of things. It would be fine if we could "delete" a note and in the past encounters section, it just showed up as a note with a strike through it, that way nothing can be changed if someone is getting sued...but i do notes sometims later in the week and end up with notes with the wrong date, i just resigne the note with the correct date and then pull up the other note and I add an addendum in caps saying it is the wrongly dated note..kind of annoying!

I agree with you as well. I'm not totally paperless, so currently I redo the note and in AC it looks like two visits for the same day, and in the chart, I destroy the printed note with the error. A work around I've sen is to forward all charts for someone to proofread prior to signing, but that means atleast one more step before the chart is complete.

Agree with above. We should be able to correct an entry somehow. Strike through sounds reasonable.

I will jump on the "agree with" band wagon.
I can't speak for JB, but I would assume the edit-locking feature of the databgase has to do w/ the CCHIT certification requirements, so we can use AC for Medicare's Meaningful Use reimbursements....hopefully, but that's another thread.

If I find an error in a note, I write an addendum if it is too late to edit. Or I correct the error in a subsequent note.