Skip to Main Content
Dream Factory by TruBridge Ideas Portal
ADD A NEW IDEA

Documentation

Showing 101 of 2195

Add sepsis screen to trauma assessment in ED

Sepsis screening is a standard of care for all patients. It would be nice to have it embedded in the trauma assessment for ED so nurses do not need to utilize another form.
Guest about 2 months ago in Documentation 0

Patient Education saves when printed

It would be beneficial that if a patient education document is printed to have it automatically saved in the chart. Currently there are additional steps that have to be taken to save the document to the chart and also to print.
Wendy Stuhr 10 months ago in Documentation 4 Open for Comment

Add standardized scales for fall, braden, sepsis, dvt, etc

Many EMR's have standard scales built in, so wondering if CPSI could build eforms, flowchart or notes that have all the standard scales and the group could put in votes for priority ones but i think many of them are national and we are all re-doin...
Diana Trechter almost 3 years ago in Documentation 5 Product Owner Review

Date on each page of Patient Progress Notes

When patients documentation purges to clinical history - that is the only way we are able to view and keep patient records. When you look at the progress notes each page does not have the date of the documentation. So you have to remember when loo...
Nanci Richardson almost 3 years ago in Documentation 2 Future Development

Add RASS scale to the hemodynamic vital sign application

The RASS scale is a requirement for evaluating titratable sedation effectiveness. RASS scale assessment/reassessment is required and recorded every hour. This should be captured within the vital sign application, and an option within the MAR shoul...
Guest 9 months ago in Documentation / Vital Signs 0

Working ER Log

After 2200 update, some of our documentation times stopped pulling to ER Log ( Situation 10179656). From the sit, it sounds like we are going to have to go back to the old way of entering data which in no way fits the EDIS workflow. It'll be the s...
Teddy Busby 5 months ago in Documentation 1

Critical Value or Radiology finding communication

When we went through our JCAHO inspection, we found no place to document CRITICAL LAB VALUES OR RADIOLOGY FINDINGS AND COMMUNICATION TO PHYSICIAN on the Nursing Physical Assessment. CPSI should have added this feature, maybe in the Lab Results sec...
Sachin Shah 4 months ago in Documentation 0

Autocapitalization in Notes when using numbering or bullets

Within the Notes application, the system does not auto capitalize the first letter of a bullet point (whether using numbering or regular bullet points).
Brad Legnon 5 months ago in Documentation 0

ADD patient screenings to Health History Application

Would like to see screenings added to the health history application or somewhere in the inpatient documentation. Screenings to Include- social determinants of health, suicide, depression, etc...
Trish Shelton almost 2 years ago in Documentation / Health History 2 Future Development

"denies" option for social history categories in health history.

This would be a nice alternative to only being able to put "Never" if a patient states they do not have any substance abuse or smoking.
Guest over 1 year ago in Documentation / Health History 0 Future Development