Home Forums Discussions Problems slow log-in

We have been using AC since 10/10 and over the last few months, logging into AC is taking longer and longer. I type in my user name and it can take up to 45 seconds before the program opens. I am not sure what we are doing wrong but I need it to speed up. Any suggestion??

On the main computer, open Amazing Utilities and:
-- run optimize databases
-- run repair connections

On the client computer that is slow connecting
-- under Messages, open Deleted items and "remove all"
-- under View>Orders, erase all pending orders

In those pending order on the client like machines, those are just already Done orders that get held there now and again??? So I will not be undoing, trashing loosing any of my wife's recent or older work??? I would gather this is the case because they are on the clients where long term storage is NOT done.... Only temporary to hold for work in progress or refer back to for the programs purposes....

So when I run AU from time to time, not only should I be cleaning up the database with Optimize but also repair connections.... I'm a bit SQL illiterate and inexperienced. Are those connections sort of like registry like things that allow the software to know where are it's parts and data??? And so do those tend to get a bit confused, busted, corrupted with use and over time???

BTW, what is the recommended interval for AC upkeep kind of procedures such as these? I used to be much more anal about such things but have gotten a bit slack and laze more recently....

Thanks for the tips and advice...
Paul

How do you erase the pending orders?
Do you have to do them one by one or can you select a batch and delete?

Greg

You have to click on each order, then under "Update Order Status", click the "Completed (There are no results pending)" button, then click the "Update Order" button at the lower right. A box opens, just click "Cancel" to erase that order.

Must erase each one by one. Ouch.

This is what I have been told by tech support to improve a slow computer.

Your guess is as good as mine. Maybe James will chime in here?

Tech support told me to run these procedures when database connections hang a bit, such as opening imported Items, or saving an encounter. I do this on the average weekly.

You won't be undoing any messages already saved to the patient's chart. And since the "Orders" don't link in any way to incoming results or reports, those won't be affected either. The list under View>Orders is just a list of messages sent to other users containing orders. So once the results are obtained, the items on the list have no value.

Thank you John for your help - just getting rid of my 4600+ deleted messages increased the speed significantly! My MA's are having a great time deleting the orders (and yes - it is one by one).

How can repairing a connection that is already connected help?

As for the deleted items, I guess we have no one to blame but ourselves. It would be good to have a count under the message area to remind you to delete them.

Again, I have no idea how deleted messages would affect the speed of the program.

Removing hundreds of deleted messages really helps. I don't know why. The Amazing Utilities tips were told to me as long ago as version 5 by Tech Support.

I believe you that it does, but in computing things should make sense. And, I never understand why people learn things through tech support which should be common knowledge.

For instance, my discovery on researching two questions on here led to learning how to print the same prescription over again and only have it show once.

And, how to print a lab script over again without starting from scratch. I don't know why these things are advertised.

But, then again, after 16 years of using Notepad, I just found out how to change the Header from "untitled" to something else or nothing at all. So, how would I expect Microsoft to show me that?

More than happy to.

The prescription thing is easy. Rather than do it over or even click on the script to do it over, RIGHT CLICK on the medication in the script writer you wish to do over. Then select either:

Re-Transmit... or Re-Print...

depending on which you did the first time. You can't go wrong because if you printed the first one, Re-Transmit... will be greyed out.

This will keep it out of your medication history, and it will not show up in the note.

As for the other one:

Highlight the patient in your inbox whose order you wish to redo. Then either select View --> Orders or I just click on CTRL + O.

You will then see your orders. Right-click on the order you wish to resend, and select either Print or Print all. This will bring up your requisition identical to the one before complete with the actual date.

There are many variables here, and you will need to choose which way you want to go. First, you have to understand that if you click on the Lab tab and select labs one at a time, you will notice they will populate the right side of the window individually. This will mean they will show up under the order section above as individual lab orders even though you printed them out as one order originally. AC does this on purpose so you can reconcile individual orders. If you reconcile your orders in that way, you will need to print each individually. Now, custom orders will show all labs that your ordered and print one page. But, I don't know how you reconcile those unless you eventually put all the lab values in the results box and reconcile it.

If you use Custom Orders, you will not know what the orders are in the Orders window until you highlight, and they will show in the comments field near the bottom. If that is OK, then you can always use the Custom Orders every time and even use templates. This seems like the most efficient way to do it. Remember, though, how many times do you need to reprint orders?

Obviously, if you have a lab set in the order section called Dysuria and you make it a template for U/A, U/A micro and Urine culture, clicking on Dysuria will give you only one box at the right and, therefore, only one lab req to print out.

We either use the Custom Order section or use the Quick Add. By using the Quick Add, you can force it to make only one lab. So, you can type in Quick Add --> Orders: CBC, LDH, Uric acid and CMP, then select it. This gives you one order and shows the orders in the Orders window. We then have a staff member delete it from the labs templates the following day since they will all be under Orders. Unfortunately, there are so many workarounds to do. We don't reconcile labs as we have a better method, although I am sure we will be forced one day by the United Stated Federal Government and Congress located in Washington D.C. I believe this was the method put forth by Thomas Jefferson, but it was vetoed by the president at the time.

Not Jefferson, it was John Locke: "whenever the Legislators endeavour to take away, and destroy the Property of the People, or to reduce them to Slavery under Arbitrary Power, they put themselves into a state of War with the People, who are thereupon absolved from any farther Obedience."

I think we are near or have reached that point.

You can "complete" batches of Orders. Select View/Orders - I usually will go to the oldest to begin highlighting - press shift key and use up arrow to wherever you wish to stop so multiple Orders are now highlighted - select Completed and press Update Order. This only works if they are in sequential order and you wish to mark all as completed. If you wish to select random Orders to complete, then press the Ctrl button while selecting the order to highlight. Once done selecting random orders which will be highlighted, select Completed and press Update Order.