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And, whether down for a nanosecond or a nanoyear, you shouldn't lose your note. Unless something else is going wrong. Connecting to another network via LogMeIn (no offense Brian) is simply not the way to go. Again, you may as well remote directly into the server.

I will give Paul his due. If the problem is the network going down that much, then he has to look at his network.


Bert
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Unfortunately there are lots of features which can interfere with wireless networks - actually older cordless phones (I think 2.4 ghz) interfere with 802.11g networks. Your reliability on channels which conflict with neighboring networks can be an issue - the channel is set in the setup for the router and there are several ones to try - this mostly becomes an issue in buildings like apartments where there are lots of routers in close locales.

I agree with Bert -- wired is the way to go if at all possible. I actually only use my WIFI for my Tivo and Phreesia pads - everything else is wired. I am really happy with having each room have a 500.00 pc and on wire.......


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Originally Posted by bert
@Brian, He isn't talking about saving it anywhere like to your desktop. He means a button that you push at the top of the note while you are writing that saves the data as if it had been forwarded to your inbox.
I guess I have reached the point where I no longer understand the value of having an additional "save" feature, if you can't lose your data by losing your connection, as you and Adam say.

That being said, here's everything I know about "saving" a file in AC. Perhaps somebody will find it useful.

Ctrl-S. If you hit Ctrl-S, it saves your current file to the Inbox. Yes, it closes the note. It takes one second to pop it open again. When you open it, it asks you if you want to delete the note in your Inbox. If you say no, your saved note will stay there until you delete it later. If you say yes, it is still available under deleted items. Unfortunately, this feature has a bug, and it sometimes does not save the Social History. If this feature worked properly, it would be the quickest way to save and retrieve a note.

Alt-C. Forwarding the file to yourself is much more reliable, and it is not that much trouble. Using the mouse, it is a lot slower than just hitting Ctrl-S as above, but it is pretty fast using keyboard shortcuts, as Bert pointed out to me once. At least in my case, I hit Alt-C, and hit up arrow once and hit return. I can then re-open it, and the deleted version is available in deleted items.

LastNoteBackup.txt As you write up a patient encounter, Amazing Charts silently backs up the current note to a file called LastNoteBackup.txt which is located in the Amazing Charts folder on the computer on which you are working. This will allow you to rescue data in the event you accidentally closed the chart before saving the note. You can open this text document with Microsoft Word, Wordpad, or Notepad, or another word processing program. Once open, you can cut and paste the text into the applicable text boxes in the patient's chart.

In addition, Amazing Charts tracks when a note is saved correctly, so that if your computer crashes while you are documenting, the next time you start Amazing Charts, you'll be notified that a note wasn't completed correctly. In this instance, you can open back the note and Forward or Save it.

Keep in mind that the lastnotebackup and resurrecting a note backups are erased once you start to work on a new chart, so you must access it before working on another patient!

(This last info is taken from the help file)


Brian Cotner, M.D.
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Originally Posted by bert
And, whether down for a nanosecond or a nanoyear, you shouldn't lose your note. Unless something else is going wrong. Connecting to another network via LogMeIn (no offense Brian) is simply not the way to go. Again, you may as well remote directly into the server.

I don't disagree with any of that.

As I understand it, the big danger of using a wireless PC to run AC is not that you might lose your note, but that your database might become corrupted if the signal is interrupted while you're writing to the database. Using a remote desktop program, connecting to a *wired* PC on your *own* network eliminates that possibility.

The server would work absolutely fine for this, except it is best not to run AC on your server, as you have pointed out.


Brian Cotner, M.D.
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Originally Posted by Brian
As I understand it, the big danger of using a wireless PC to run AC is not that you might lose your note, but that your database might become corrupted it the signal is interrupted while you're writing to the database. Using a remote desktop program, connecting to a *wired* PC on your *own* network eliminates that possibility.

The server would work absolutely fine for this, except it is best not to run AC on your server, as you have pointed out.
I wasn't aware that the last saved file was saved on your own PC. That's good to know and negates my issue with multiple users trying to resurrect his or her note. Here are my thoughts:

1. I doubt a save feature will ever be built into the program as you shouldn't lose your note due to network disconnectivity. Plus you have the last note backup. I think the best way to save the note is as Brian states, forwarding it to yourself and then opening it again. This is not something one would need to do with a short note. If you are having issues with lost notes, then after opening the note from the Inbox, do not choose to remove it from the inbox. That way you will at the very least have the nurse's input there.
2. While working remotely would work, it simply isn't practical. This in no way is against Brian's idea. It would work, but it is just way too much. You would need one computer for each tablet unless you are happy with everyone using AC in one setup.
3. We have three or four computers which run off the server. AC was not designed that way and seems to be slower. It would still be faster than LogMeIn. But, it would be faster to use AC directly off the server IF you were going to use LogMeIn as it would bypass one step. Again, though, everyone would have to use AC in Mike mode or John mode or Sally mode.
4. This is an exercise in futility, because one should not be losing notes due to nanosecond disconnections. Don't click on anything while you are disconnected.
5. While these are the answers to the question, certainly fixing the underlying problem of wireless issues would be the way to go.
6. While I do not want to offend anyone who likes wireless and the Tablet method (and many do and many have no issues with it), I still think a desktop PC with wired connectivity is the safest and fastest way to go. Just my opinion.


Bert
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Hi I di dnot understand the role of hitting Alt & C. Thanks

Ctrl and S worked great.

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Ctrl-S works great if you remember to click in another text box, outside of the Social History, before you save. You only have to do this if you have added data to the Social History. It's a bug. Hopefully, with the next release...


Brian Cotner, M.D.
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Dear God wink

If you are listening, please give us SQL Server and a dataset that is supposed to function as a "disconnected" dataset.

Thank You.

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Way to go Brian. If I know Brian, he will get a voice command that says, "Save this note Oh Mighty AC."


Bert
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Thanx to everybody 4 ur suggestions. the amazing charts conference was great and I learnt a lot and got opportunity to provide the feedback and problems.
I have hard wired all the rooms.but still since we including my nurses are using the laptops i will keep the wired connection as a back up .I am also thinking of doing N networking as somebody mentioned in the conference.i am looking in to the adapters and routers also.if all that does not work i will look into servers.
i got mixed views from people about server.
i will update u as i go along.
i want to give special thanx to Bert,Adam,jim,Brian,Fred for their time and addressing the issues.
good luck Bert for the updates.

Laju

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Thanks Laju. If you have any questions, post them and all will help. If you want to PM, feel free to do so.


Bert
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Originally Posted by bcmd
Ctrl-S works great if you remember to click in another text box, outside of the Social History, before you save. You only have to do this if you have added data to the Social History. It's a bug. Hopefully, with the next release...
Jon Kimball (Jon Bertman's programmer) said at the User's Conference that this is fixed in the new release.


Brian Cotner, M.D.
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Laju,
That was very nice of you to say.
It was my pleasure helping.
I hope the hard wiring puts an end to your problems.
I moved into my new office this week.
I had all rooms hard-wired. I AM LOVING THIS.
No more dropped connections or time-outs. No more reconnecting to the data base, plus my laptops communicate to the server VERY QUICKLY.


Adam Lauer, DO (solo FP)
Twin City Family Medicine
Brewer, ME
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