Using Cognos2 to keep track of patients: Difference between revisions

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This page explains how the components of [[Cognos2]] should be used together to keep track of patients.

Cognos2 consists of the following components:

Cognos2 consists of the following components that should ideally be used in the following order during a shift:

* [[Cognos2 Ender]]

* [[Cognos2 Unit Starter]]

* [[Cognos2 Service Starter]]

* [[Cognos2 Unit Starter]]

All of these open to [[Patient Viewer Tab Cognos ADT2]].

* [[Patient Viewer Tab Cognos ADT2]]

== Steps ==

{{Discuss|

* I had an incident today where I did my CSS, and then went to do my CUS but the binoc button was linking me to an incorrect profile. On investigation, I had a patient who was discharged but hadn't yet has his dispo date/time entered, and then returned to hospital a day later. It was flagging him in CUS as a bed move to ER on his previous profile and didn't recognize that it was a new admission. Once I put in his dispo date/time he was removed from the CUS list. Is this something that can be sorted out? We do have patients that we move to ER to board before going to ICU so this can create some confusion. Sequence of button usage should be CSS then CE and then CUS until this can be sorted out. [[User:Surbanski|Surbanski]] 12:32, 2020 December 3 (CST)

** That is exactly what I would have expected to happen: a unit changed and the change was flagged. Upon review, you knew exactly what you needed to do. What is there to fix? To be clear, this change should also have shown up in [[Cognos2 Ender]] because the original service would have ended. And it should have shown (albeit as a pink plus) in CSS, because a new service would have started for the pt. Do you know if those two things happened? To summarize, I see CUS and CE as checklist generators: something needs to be done, and once it's done the record drops off the list - sounds like that happened. And yet: if you think there is something wrong with how this worked, then chances are so do at least a few other collectors. So how do we reconcile that? [[User:Ttenbergen|Ttenbergen]] 10:08, 2020 December 10 (CST)

*** After further discussion with GRA med, they confirmed that there are two parts to this:

****(1) There is a best order in which to use the Cognos2 tools. That order should now be reflected on this page, if it's not, please help me get it right

****(2) It is still difficult to see which "peach" pluses in [[CSS]] are for a record that needs attention, and which ones are for a record that is already entered. Tina is working on that, see [[Cognos2_Service_Starter#Problem%3A_which_peach_pluses_require_action]] for specific info.

*** If (1) is addressed here, and (2) is addressed at [[Cognos2_Service_Starter#Problem%3A_which_peach_pluses_require_action]], and between the two they really do describe what is going on, then please clear out of this discussion what is no longer relevant. [[User:Ttenbergen|Ttenbergen]] 14:05, 2020 December 15 (CST)

}}

=== Finding new admissions ===

Any new admission will result in a new service start. Use the [[Cognos2 Service Starter]] to find all new admissions. Records that have been added show up green, records that have not yet been added show up white. Enter all new records, including records where the patient is still in the ER (i.e. not clear yet if they will ever reach a unit or become what we used to think of as an EMIP / ECIP). When you enter a record, it opens in [[Patient Viewer Tab Cognos ADT2]] where you can also enter any other services and units that patient is listed for in the Cognos data.

@@ Line 1: / Line 1: @@
 This page explains how the components of [[Cognos2]] should be used together to keep track of patients.
-Cognos2 consists of the following components:
+Cognos2 consists of the following components that should ideally be used in the following order during a shift:
 * [[Cognos2 Ender]]
+* [[Cognos2 Unit Starter]]
 * [[Cognos2 Service Starter]]
-* [[Cognos2 Unit Starter]]
+All of these open to [[Patient Viewer Tab Cognos ADT2]].
-* [[Patient Viewer Tab Cognos ADT2]]
 == Steps ==
+{{Discuss|
+* I had an incident today where I did my CSS, and then went to do my CUS but the binoc button was linking me to an incorrect profile. On investigation, I had a patient who was discharged but hadn't yet has his dispo date/time entered, and then returned to hospital a day later. It was flagging him in CUS as a bed move to ER on his previous profile and didn't recognize that it was a new admission. Once I put in his dispo date/time he was removed from the CUS list. Is this something that can be sorted out? We do have patients that we move to ER to board before going to ICU so this can create some confusion. Sequence of button usage should be CSS then CE and then CUS until this can be sorted out. [[User:Surbanski|Surbanski]] 12:32, 2020 December 3 (CST)
+** That is exactly what I would have expected to happen: a unit changed and the change was flagged. Upon review, you knew exactly what you needed to do. What is there to fix? To be clear, this change should also have shown up in [[Cognos2 Ender]] because the original service would have ended. And it should have shown (albeit as a pink plus) in CSS, because a new service would have started for the pt. Do you know if those two things happened? To summarize, I see CUS and CE as checklist generators: something needs to be done, and once it's done the record drops off the list - sounds like that happened. And yet: if you think there is something wrong with how this worked, then chances are so do at least a few other collectors. So how do we reconcile that? [[User:Ttenbergen|Ttenbergen]] 10:08, 2020 December 10 (CST)
+*** After further discussion with GRA med, they confirmed that there are two parts to this:
+****(1) There is a best order in which to use the Cognos2 tools. That order should now be reflected on this page, if it's not, please help me get it right
+****(2) It is still difficult to see which "peach" pluses in [[CSS]] are for a record that needs attention, and which ones are for a record that is already entered. Tina is working on that, see [[Cognos2_Service_Starter#Problem%3A_which_peach_pluses_require_action]] for specific info.
+*** If (1) is addressed here, and (2) is addressed at [[Cognos2_Service_Starter#Problem%3A_which_peach_pluses_require_action]], and between the two they really do describe what is going on, then please clear out of this discussion what is no longer relevant. [[User:Ttenbergen|Ttenbergen]] 14:05, 2020 December 15 (CST)
+}}
 === Finding new admissions ===
 Any new admission will result in a new service start. Use the [[Cognos2 Service Starter]] to find all new admissions. Records that have been added show up green, records that have not yet been added show up white. Enter all new records, including records where the patient is still in the ER (i.e. not clear yet if they will ever reach a unit or become what we used to think of as an EMIP / ECIP). When you enter a record, it opens in [[Patient Viewer Tab Cognos ADT2]] where you can also enter any other services and units that patient is listed for in the Cognos data.