2021-08-21

All Prescriber Bulletin - Ensure Documentation Files to Correct Record of Care

All-user-bulletins highlight stumbling blocks that all physicians need to be aware of when using the Connect Care clinical information system.

File Documentation to the Correct Record of Care

As the Connect Care clinical information system (CIS) continues to spread throughout Alberta, situations emerge where a program or facility has areas launched in Connect Care and others awaiting launch. Temporary "hybrid" contexts occur when part of a patient's experience is captured in Connect Care and other part(s) in legacy systems. 

Clinicians trained in Connect Care workflows may find themselves attracted to the convenience of in-system dictation, speech recognition or text automations when providing service in contexts where the CIS has yet to launch. Nonetheless all clinical documentation must be rendered and entered to the correct legal record of care.

The Connect Care Manual describes how to print material that needs to be added to a paper chart:

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