Our ED recently swapped from paper T-Sheets (good ol' days) to Epic. Among our numerous issues hospital-wide, the biggest problem in the ED has been mid-level charting. Currently every mid-level chart must have an attending manually assigned (by me) to a patient; at the end of the patient encounter (when I have signed the chart meaning no further changes will be made) it will show up in an attending's inbox with a "cosign" button that opens a new note that they must sign. If the patient is discharged however, the attending is removed from the treatment team and the chart goes un-cosigned forever. To make it more frustrating for physicians, anything I alter after the chart is co-signed must then be RE-CO-SIGNED. Surely this is not how every ED handles this stuff. Mayybe internal medicine, but still arduous.
If you have an alternate work-flow in your practice with Epic, please explain how your process works.
(Mods, I tried to see if this type of questioning is allowed on meddit and think there's precedent, if not please direct me to a more appropriate sub, thanks)
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