We send a refill request to Dr. XYZ for a patient's medication and get back a faxed note which reads, "NEVER seen by Dr. XYZ'--- please send to primary care doctor."
We retrieve the hard copy which unmistakably shows "Electronically signed by Dr. XYZ".
We send BACK the refill request and attach a copy of the previous prescription, highlighting the 'Dr. XYZ' part on it, almost like you'd do for someone who has trouble reading. We have NO time for this, but we must do it anyway.
Later in the day we get a new prescripton from Dr. XYZ for the medication we requested.
This happened not once today, but three times.
Something is not working here. It's not like Dr. XYZ pulled a prescription pad out of his pocket, scribbled it out and slipped it to the patient. The thing is computer-generated, saved, archived --- there's a TRAIL here. It's in the electronic medical record, isn't it?
Just another reminder that the system is only as good as the humans using it. And today they weren't paying attention.