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Documentation

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Stop PRN Meds from autofilling "Reason"

When giving a PRN Med, the "Reason" is autofilled from what the Doctor ordered. This causes nurses to just go with what's autofilled instead of actually checking and updating the reason. This is definitely a nurse training issue, but we also can't...
Guest about 2 months ago in Documentation 0

SAFER - Warning when accessing a deceased patient record

The SAFER patient identification best practices recommend that when someone tries to create a new visit or document on a deceased patient's record they are presented a warning that this patient is deceased, do you want to continue? This is a very ...
Susan Gutjahr over 1 year ago in Documentation / Registration 2 Product Owner Review

Interface vital signs to allow for the import of Mean Arterial Pressure (MAP).

Adding MAP as a Vital Sign import is critical when a patient is receiving a critical care drip that the "Best Practice" is to monitor and document the patients Mean Arterial Pressure (MAP). CPSI allows you to manually add the Blood Pressure and it...
Guest 5 months ago in Documentation 1 Product Owner Review

Ability to lock Documentation for behavior health and psychology patients

Locking of Documentation. There needs to be a way in CPSI to lock documentation for Behavior Health/Psychology patients. At BMH we have both services and currently using paper for documentation due to they need to be more secure than what CPSI cur...
Jennifer Brockhaus about 3 years ago in Documentation / HIM / Notes 15 Open for Comment

Education needs to pull to ED Summary in EDIS ClinDoc

We give education but it does not pull to the ED Summary. It states "No Education Given"
Teddy Busby about 2 months ago in Documentation 2

Demographics in Notes Doc Header

It would be great if the patient's demographics would pull to the header in the Notes Doc as it does in the Clindoc documents (Patient Name, DOB, MRN, Account#, Admit Date and Discharge Date) - The Notes Doc only pulls (Patient Name, DOB, MRN, Acc...
Teresa Land 9 months ago in Documentation 2

When entering time and date in boxes, allow the use of T for today and N for now as shortcuts to enter the current date and time.

This would allow for faster charting by elimitating the need to switch from keyboard to mouse.
Guest 4 months ago in Documentation 3

Documenting signing off on labs and radiology

Has been on top of list for 5 years! Like other EMR's, we (providers) need to be able to sign off directly on our results with a date/timestamp/comments. This feels like a patient safety and legal issue. Currently, you can hit Acknowledge without ...
amy ellingson about 1 year ago in Ancillary / Documentation 3

New scripts automatically pull into patient education documentation

It would be great if when a new script is placed for a patient at discharge that it automatically pulled to the patient education documentation to lessen having to look into new scripts and sending home education on the medication.
Guest about 1 year ago in Documentation 0

Bladder Scan Add on

In outpatient and ambulatory surgical centers where most patients go home the next day or the same day as surgery, and their kidneys are not awake yet, we usually bladder scan them. It would be nice to have "bladder scan" as an option instead of g...
Sachin Shah 4 months ago in Documentation 0