Epic Canto

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This app could be so useful but falls very short. All though you can view the handoffs for patients (unlike its counterpart haiku for your phone) you are unable to edit the handoffs. This is problematic if you are using the handoff as it is intended (to create a running to-do-list). Otherwise you would have to go to a computer between each patient you see which is particularly impractical when working as an inpatient physician. Also can’t order meds. And worst of all, you can’t view the “med hx” to view the administration history to confirm if and when patients have received their medications. Overall disappointed! More of a gimmick than a practical, time saving program.

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Beware. Why, do you ask? If you are looking for a useful tablet app with more utility than Haiku (iPhone app), then you will not find it here. There is so much potential for this iPad app to be useful (especially on iPad Pro). Want to edit PMH, PSH, FH, and SH? Nope. Want to write orders? Many require you to complete them at a workstation. What about notes? That’s a no go. Want to find those final Microbiology results? Too bad, that’s too “old” for the app to display it. Unfortunately, this app falls short in all areas that matter. What could be a supreme utility that saves time in countless ways throughout your day is, instead, a glorified version of Haiku and with all too similar limitations. This could easily be the go to place for bedside and/or ward documentation, but for now, it’s just wishful thinking. It’s too bad because I can’t even use Epic via Citrix since last Epic update without it crashing within 5 minutes on my iPad Pro.

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Canto has a much better interface than the Citrix app, but remains very limited and usable only to view notes, labs, and patient lists. You can dictate a note, but can’t use templates or dot phrases. Most critical for me is the message board. However, I cannot sort the incoming phone calls, MyChart messages, or refills (let alone respond). It’s less than useless with the hundreds of messages that populate each list. Unread messages should automatically be on top, but they are instead buried (same in Haiku). Frustrating! Please talk to users and fix this ASAP.

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Important functions like searchable lab or imaging results, which should be straightforward features, are not present. Note entry is limited. God features include the ability to write some (not all) prescriptions, manage some in box notes, but the inability to message patients from within their chart is a frustration as well. This has such potential to be useful its like someone invented a car but left it without a steering wheel.

Rather well implemented, attention paid to designing for an iPad and touch devices. Needs to be able to enter orders and manage them. Also only allows clinic schedules for the provider that is logged in to the app. This is limiting for academic institutions and other systems where residents or advanced practitioners may rotate through an attending or specialist’s clinic. Good first start, needs more work but even in this form it is useful. Very nice that you can sign in with TouchID, makes that aspect very fast and convenient!!