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Alternate Chart Filing Methods

The subject of mis-filed charts has been discussed on the list periodically and we're having a bad time of it in the office (some of our office staff seem to have true difficulty alphabetizing). I don't remember if this has been discussed, but I read about the following filing technique:

File charts using only two criteria:
1) The first two letters of the last name
2) The first letter of the first name

So, for instance, patients with the last name "Smith", Smyth", "Smithson", and "Smurf" would all be filed in the same line based on the first two letters of their last name being "Sm". Then, let's say, the charts for "Desere Smith", "David Smyth", "Derek Smithson", and "Dean Smurf" would all be right next to each other, though the exact order of those four particular charts in relation to each other would not matter - only that they'd all be filed with other patients whose first name begins with "D" and last name begins with "Sm".

For anyone who's not familiar with this technique I know it can sound confusing (I've tried explaining it to my office staff and they look at me kind of blankly), but it seems like it would make filing charts away MUCH easier (only two criteria to worry about) and significantly reduce the chances of mis-filing. Do any offices use this technique or have any other suggestions on how to keep the chart rack better organized?

Thanks for any responses.

Michael K. Sachs, M.D.
General Pediatrician