Tag Archives: EMR

ICD-10 Keeps Getting More Painful

As I previously discussed,  a year ago we transitioned from the disease classification ICD-9 to ICD-10. That has been painful, but they keep making tweaks that require more work. I guess the powers that be decided that more than 155,000 … Continue reading

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Asinine Associations

As I previously wrote, when physicians place orders, they have to associate diagnoses. This is becoming even more painful as we move towards ICD-10, of which I’ll have more to say later. I’m sure this was an attempt by the … Continue reading

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Epic SmartPhrases

If you do not use the electronic medical record Epic Hyperspace, this article is probably of no interest to you. I previously wrote that I have done a lot of customizations to Epic. In this post I’ll explain how I … Continue reading

Posted in Informatics | Tagged , | 15 Comments

Medication Small Print

When I give a cortisone injection, I have to document it in our electronic medical records. I’ve always included the dose, how administered (intramuscular), and the lot number. This week my company added the requirement that we include the NDC … Continue reading

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Dangers of a Transparent Medical Record

Over the years there has been a push to allow more patient access to their records. Patients in our system that have signed up for MyChart with our electronic medical record Epic, can see most of their test results shortly … Continue reading

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Epic Customizations

Epic is the electronic medical record (EMR) I use at work (actually my company calls it MultiCare Connect). There are a number of customizations one can do to increase efficiency, and I’ve done a lot. Keep reading to learn just … Continue reading

Posted in Informatics | Tagged , , | 47 Comments

Viewing Doctor’s Notes

Should patients be allowed to see doctor’s notes? Legally they can, but that doesn’t necessarily mean it’s a good idea. Patients would like to, but physicians are not so sure. People make strong arguments, but I think it’s really nuanced. … Continue reading

Posted in Clinical, Legal | Tagged , | 2 Comments

Medication Errors

Not infrequently Express Scripts, Medco, or other similar companies send a fax to alert me that my patient is taking two similar medications. Occasionally it’s intentional, but most of the time it means something went wrong. Sometimes I change a … Continue reading

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