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Topic starter
Who has the privilege to file in error in your organization? We are being asking to give the privilege to office staff and not comfortable with doing this and wanted to know how other offices handle this. Thanks
Posted : July 21, 2014 12:49 am
We give this privilege to our medical records department.
Posted : July 21, 2014 1:13 am
Managers (this includes IT) and medical records staff.
Posted : July 21, 2014 1:23 am
Topic starter
Do you have a process that they all follow? Do they append with the reason they are filing in error? What if there are signed clinical list changes, how to they handle that to be sure clinical staff are aware, etc.?
Posted : July 21, 2014 1:26 am
We require that the staff that requests the document be filed in error append a reason why.
Recently, we have changed our FIE protocol. We no longer file in error unless the document is in the wrong patient's chart. We found that staff were not re-entering the clinical changes , including orders, in the new document. We would leave the document to be FIE in the chart until the new document had been created. The follow-up and clean-up for these just became too much to manage.
Posted : July 21, 2014 1:44 am
We have a desktop called File in Error and that's where clinical, transcription, whomever sends document to. It is monitored by the EMR manager and I. Staff are trained to use a quick text when they flag and attached the document, .fie for us contains:
Reason to file in error:
Document ID#:
Name and contact:
Once we see there is a document that needs to FIE we change the document summary line to what the "Reason to file in error:". Before it's filed in error we print the document and clinical list changes or copy into notepad if its a OV or something that needs recreation. We FIE the document that needs to go. We recreate up to to the point of meds,probs,orders, and certain other Clinical List item, we do this under a system administrator login. Once that is done a call or flag to the clinical person is placed noting all the clinical list changes that they need to put back in.
Posted : July 21, 2014 11:56 pm
Topic starter
adaniel said:
We have a desktop called File in Error and that's where clinical, transcription, whomever sends document to. It is monitored by the EMR manager and I. Staff are trained to use a quick text when they flag and attached the document, .fie for us contains:
Reason to file in error:
Document ID#:
Name and contact:
Once we see there is a document that needs to FIE we change the document summary line to what the "Reason to file in error:". Before it's filed in error we print the document and clinical list changes or copy into notepad if its a OV or something that needs recreation. We FIE the document that needs to go. We recreate up to to the point of meds,probs,orders, and certain other Clinical List item, we do this under a system administrator login. Once that is done a call or flag to the clinical person is placed noting all the clinical list changes that they need to put back in.
So no staff outside of the IS Dept. has that privilege?
Posted : July 22, 2014 12:02 am
Correct
Posted : July 22, 2014 12:27 am
I would only give management authorization. I had a former employee prescribing medication for herself and then FIE so that we did not know!
Posted : October 10, 2014 5:46 am
