Cedars-Sinai Medical Center

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A BI-WEEKLY PUBLICATION FROM THE CEDARS-SINAI CHIEF OF STAFF March 15, 2013 | Archived Issues

CS-Link Tip: Creating a Quick Note

You can create a very fast addendum explaining the result of a test ordered in an office visit, without actually having to go in and open, sign and close an addendum.

Follow these steps to create rapid documentation (details and screen shots can be found at cslinkcentral.org):

In your InBasket, Results Folder, click on the Result Note icon.

Document your thoughts in the main text box at the top right of the screen. The patient will be able to read your comment in their My CS-Link™ application, so remember it is very important that you write in terms the patient will understand (e.g.: no abbreviations. SmartPhrases are handy to quickly document wordy patient-friendly comments). Creating a Result Note will lock your interpretation against the result, which can be seen in when someone looks in Chart Review for the lab or procedure.

Just underneath this field, check the "Also File as a Quick Note" box. This places the exact same interpretation/follow up plan back on the encounter at which the test was ordered. (Another good reason for CPOE at the time of the visit.)

Routinely, if the physician does not wish to call the patient or write a letter, the result note is routed to appropriate staff to communicate with the patient. You can accomplish all of this (write the note, check the Quick Note box, route the chart to staff) with one action. 

The Quick Action functionality will be the subject of your next tip.

Visit cslinkcentral.org for details.