Last month a local ER went to a Dragon-based dictation system that enters stuff in the chart as you type/talk, and you CANNOT undo anything. You can only dictate an addendum.
So I'm reading a note yesterday on a nice little old lady:
"When I went back into the room the patient was clearly intoxicated and verbally abusive. Her husband took off his belt and tried to hit me with it. Security was called and the husband was physically restrained, though he bit a guard in the process. The patient was put in 4-point leathers and given Haldol when she attempted to punch a nurse. Sorry, please ignore that, it's the wrong chart. Please rewrite it as: her head CT was normal, and I think she has benign positional vertigo. She and her husband were satisfied with this, and I gave her a prescription for Antivert. She'll follow-up with Dr. Grumpy next week in his office."
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