I will answer this as a physician general response. Hospital notes are different. All are require signature. Reading (and signing) a clinic note almost doubles the work. Depositions and court testimony I have seen seem to have no bearing on whether or not the note is signed - even when there are typo's or other errors. We had a case go to trial using a "pre-FileMan" EMR with signed hand-written notes (physician preferred writing to dictating), and the printed computerized (unsigned) notes became the evidence in the trial. I don't think anyone ever read the handwritten notes.
Today I type my notes and find them loaded with typo's and errors. I don't initial them, though I occasionally think I we need to start initialing the note. I have been dictating notes for over 30 years and typing my own notes for the past 2 years, using computer in practice since 1970 and used computerized medical records since 1985. As a strong advocate of EMR I still appreciate the challenge of getting notes "signed off." I understand an Agency of the Federal Government adopting such standards. However, for private practice, it sure would be nice to be able to turn it off. Thanks, thuran P.S.: How many of you notice MSWord likes to convert EHR to HER? Maybe EHR is a bad acronym. > -----Original Message----- > From: [EMAIL PROTECTED] [mailto:hardhats- > [EMAIL PROTECTED] On Behalf Of Joseph Dal Molin > Sent: Sunday, March 13, 2005 9:48 PM > To: [email protected] > Subject: Re: [Hardhats-members] Need help programmatically signing a > progress note > > Kevin, > > Could you describe the doctor's reluctance in more detail....if I > understand the work flow the doc's dictate a note...it gets typed and > the doc needs to sign it for it to be seen....so what they are resisting > is keying in their electronic signatures repeatedly for a batch of > transcribed notes...is this a case of keyboardphobia? It will be > helpful to know what doc's don't like about using VistA as much as what > they like....thank you for bringing this to our attention. > > Are they still reviewing the transcription for accuracy and how are they > doing this? Perhaps integrating a finger print scanner or smart card for > capturing a signature would be a good alternative. > > Joseph > > Kevin Toppenberg wrote: > > I need some help. I have been stuck on this one point > > for several days. > > > > The doctors at my group are not willing to sit at a > > computer and sign their notes electronically. And > > notes are not visible to others unless they are > > signed. > > > ------------------------------------------------------- > SF email is sponsored by - The IT Product Guide > Read honest & candid reviews on hundreds of IT Products from real users. > Discover which products truly live up to the hype. Start reading now. > http://ads.osdn.com/?ad_id=6595&alloc_id=14396&op=click > _______________________________________________ > Hardhats-members mailing list > [email protected] > https://lists.sourceforge.net/lists/listinfo/hardhats-members ------------------------------------------------------- SF email is sponsored by - The IT Product Guide Read honest & candid reviews on hundreds of IT Products from real users. Discover which products truly live up to the hype. Start reading now. http://ads.osdn.com/?ad_id=6595&alloc_id=14396&op=click _______________________________________________ Hardhats-members mailing list [email protected] https://lists.sourceforge.net/lists/listinfo/hardhats-members
