RACs and EMR ordersets

As part of our RAC team, I review charts with findings from our RAC. Very similar to what I have been reading, they are quick to target one day stays. Because I have been able to successfully clone myself or apparently enjoy multi-tasking, I have also been building ordersets for our EMR:) This additional assignment has been...enlightening.

Does anyone review their ordersets (electronic or paper)prior to final approval stages to make sure that there is no ambiquity within the orderset? I think an example may be a status order for inpatient or observation and then another order that can be checked to discharge the patient within 23 hours if criteria is met. In this scenario a physician could make them an inpatient and also check the discharge order-yikes! Just wondering if anyones goes as far as asking that those orders be removed if on an orderset for a potential inpatient or any suggestions? Thanks!
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