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When a note is signed it goes through a PDF conversion whereby the conversion process will auto shrink the entire note proportionately until the note content fits within the PDF page margins.
Currently, several of our System Notes filters, predominately Vital Signs and Demographics, contain too many columns to fit within the page margins resulting in a PDF that has small content and sometimes too small to be usable and readable. And since the System Filters cannot be modified by the users but are popular in their usage since the are always shown on the notes default screen, this causes many situations to be entered complaining about too small text on PDFs. The only course of action open to the customer is to then edit the note on each individual patient and modifying the text to be within margins and/or manually modify the filter table until it either they remove enough columns to fit or adjust the table width to fit. Adjusting the table width will still not resolve this issue if there are too many columns.
As a company, we need to make sure that ALL of our System Filters do fit within the page margins of the note when used so that we do not contribute to this issue of "shrunken" notes documents.
8/20/24 Update:
The next Notes update does have this fix and I anticipate it to be released within the next few weeks!
The next Notes update does have this fix and I anticipate it to be released within the next few weeks! I apologize for the delay in getting this in your hands sooner!
Hey Pam and Caitlin,
I emailed the Product Owner and asked him if he could share any updates here for everyone.
Agreed. We really need an update to this as it has become a huge problem within our facility!
Can we please have an update on this. It's been almost 4 months since this was placed "in development". We really need this issue resolved.
I posted an update from the development team this morning as an admin comment so everyone can find it easily. I changed the status to In Development, but in this case, that could other solutions besides a programming change. We will share more information once the team has learned more.
This is a system issue that URGENTLY needs to corrected so we don't have to correct all of the Notes that were previously setup correctly until the system update changed and messed up all of the Notes
Even if the programming shrinks the table instead of the entire document, that is a start. If they need to actually view the super long Vitals, there might be a problem. I believe it was doing that previously because this issue started happening at once.
I agree with everything that Alicia Bell said on March 7. This is a huge issue and needs to be fixed ASAP! All tables should fall under the correct page margins!
How many votes does it take to advance this issue and get it resolved? This issue has been going on for a long time now with no results as to it being fixed. Providers do not or will not take the time to select a different table when this one still populates as the preferred default table. Customer satisfaction and patient safety should be your priority. It needs to be fixed ASAP. All tables should fall under the correct page margins. This should not even have been an issue to begin with the standard page is 8 1/2 X 11 with 1 inch margins. I'm pretty sure even programs know this.
This is a real problem for us as well. We had to build a custom Vital Signs: Simple table that had fewer data elements. However the "big" Vital Signs table is still available for the providers to select, and they do. Please fix this. Our providers do not have the time to worry about which table they should select so that their notes are not compressed.
This problem within the default tables needs to be escalated as a high priority fix. The providers are relying on all tables to fit within the proper margins of a standard piece of paper when a note needs to be printed and sent with any transitions of care or patient referrals. The last thing on their mind is taking the time to make sure pre defined tables supplied by the EHR vendor meets the standard margin requirements. This is a HUGE PATIENT SAFETY CONCERN and needs to be addressed ASAP. When the default provided tables exceed the margin parameters the PDF conversion to print said document shrinks the whole document to fit the within the margins. By doing this to get the pre defined table to fit the page the rest of the text document shrinks as well making the text so mall you need a magnifying glass to interpret the text. Once again these are default predefined programed tables that we are using and is creating a huge patient safety concern. Please fix it ASAP. Providers are relying on the efficiency of the notes application and don't have the time to format documentation that should be formatted by the EHR vendor and programmers.