Unable to lock up clinical notes

[clinicoffice_user]

***UPDATE***
Please note that the locking of Clinical Notes has been fully implemented since build 1058 (released on 26/08/10).

---

One thing that could be a problem is in the clinical notes. For an insurance purpose you should not be able to modify previous entry in the sessions. At the moment it seems that the software allows you to do that even after stamping it. Is there any way of avoiding that? In the CO2005 it would just create another new section in the same SOAP notes in with staff name, date and time.
By my understanding, this means that the notes can be tampered with without trace. Equivalent to keeping written records in pencil not pen – they don’t prove what a court would need them to prove, and therefore inadmissable as evidence. Worst case hypothetical scenario, the notes could be edited to suggest that such and such a test was done, or that such a treatment wasn’t actually given, potentially removing negligence from a case.

Beyond that any concerns are only niggles and will probably be sorted out with familiarity; the admin side of the programme looks like a big step forwards from CO2005.

Thanks for your help on this matter.

[Author]

Posts