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Topic starter
We have scribes that enter our note data. Frequently there is a lot of data in the "further details include" box on our forms. Checking through each form for spelling and grammatical errors is SO time consuming. If it were possible to do this directly from the "Text" view instead of the "forms" view, that would be such a time saver (i.e. highlight misspelled word and correct it without having to go back to the form and scroll all the way to the bottom of the further details box). When I try to do this is gives me an "error - protected text" message. Thanks
Posted : January 19, 2017 5:34 am
Sorry that is not possible if you are trying to capture OBS term data. If you just need text notes then it is recommended to type under a form content but it will not save any of the content to OBS terms
Posted : January 19, 2017 5:39 am
Topic starter
Thanks for the answer, I figured as much. What is OBS term data? Sorry - not much of a computer guy. This also renders our spell check function useless, BTW.
Posted : January 19, 2017 5:41 am
OBSterm data is the structured information that entered into the forms side of the document. You will notice that it is different colors on the text side with each page representing a different color. Any text entered in the text side will be black and will be unstructured data. One thing you can do to cut down on spelling errors is to custom build forms with more check boxes and multiple choice answers.
Posted : January 19, 2017 5:59 am
Topic starter
Thank you. Our nurses complain about too many check boxes already and in our field there would be no possible way to include all the possibilities in check boxes. Oh well, another example of technology slowing down medicine!!
Posted : January 19, 2017 6:02 am
quick texts?
Posted : January 19, 2017 6:07 am
Topic starter
We do have a lot of quick texts, but again, when you are dealing with allergy there are an infinite number of ways people present and it's just easier for our nurses/scribes to type as the patient is talking. I would prefer a note without the forms (just free text) , but I am probably in the minority in my group on this.
Posted : January 19, 2017 7:05 am
You could copy and paste the entire text portion within a form to Notepad or Wordpad, make the changes and then copy and paste back into the form.
Posted : January 19, 2017 7:09 am
Topic starter
Unfortunately, our HPI section alone consists of 10 different tabs. I just want to be able to look at the whole note at one time and make edits without having to click through each individual tab and scour for errors.
Posted : January 19, 2017 7:18 am
I haven't tried this program but I did a quick search and this is what I came up with, I am sure there are others out there as well and this isn't the functionality you were looking for.
Posted : January 19, 2017 7:25 am
Dr. Bell,
I feel your pain. The spell checking issue rears its ugly head on a regular basis in our practice. If the documentation you are referring to doesn't need to be captured as discrete data (sometimes called structured data), you could set up a text component that could be inserted into the note and then your scribes could fill in the blanks directly on the note (using the text tab). The downside of course is that you give up the ability to store this data in the database for later retrieval (the documentation would still be present in your note however). In my experience, a physician needs both. In other words, they need a way to capture the clinical data elements that are important to trend and analyze over time (and report to the government wonks) so that clinical protocols can be evaluated and improved upon; but they also need a way to efficiently capture their "color commentary." Clearly a patient's health can't (and shouldn't) be represented by a bunch of clicks and dropdown selections. Finding a good balance between the two requires the collaboration of clinical champions and technology professionals. In your case, you might set up your encounter forms to capture only certain elements of the exam using a data entry form and use text component placeholders to capture the narrative portions of your note. I'd be happy to demonstrate the concept if you wanted to connect offline sometime (just shoot me an email). In the interim, check out this video that demonstrates how spell checking can be achieved in CPS without add on tools. Here's hoping GE will get there in the not too distant future.
http://screencast-o-matic.com/watch/cbVq0LQJiU
Posted : January 19, 2017 12:28 pm
