On 04/15/2013 06:12 PM, Thomas Beale wrote: >> patient sees the GP, then visits a practice >> nurse, without the GP record being committed first. > > yes, that's certainly a possibility, if the practice solution isn't > designed to deal with it, and the staff are not trained...
In the Netherlands there is, what we call, the "door-handle-patient". At the moment he is leaving the room, and is busy opening the door, he tells what he is really worried about. "I am afraid it is cancer, doc" The GP asks the patient to sit down for an extra minute and explains why he thinks it is not cancer, or he makes another appointment because he thinks the patient has a point.. So a GP at latest should commit after the door is closed and the patient has definitely gone and just before the new patient enters. At the moment a patient arrives again at the nurses or assistants-desk, the dossier should be fully up to date, or it should be recognizable that it is not up to date, and then the nurse has to wait until the lock is released. The kernel can support this best by pessimistic locking. The GUI should support the workflow in a medical practice, by using the kernels locking-features. Bert
