STB Electronic Patient Record

This page documents specific info about EPR data as used by our collectors at STB. For information common to all sites, see EPR.

ICU admission time...

• We still access time of icu admission

is that still true? Only for ICU or also Med? Emailed Laura request for update. Ttenbergen 16:54, 2019 October 23 (CDT)

• SMW

• Cargo

• Categories

Implementation Status

All sites are at different stages of EPR implementation. It is fully implemented at STB.

Data only documented in EPR

• data listed at EPR#Data in EPR
• Physician orders
• laboratory
• pharmacy data (MAR)
• integrated progress notes
• nurses operative report
• physicians OR notes
• Central line insertions

Data documented in paper and EPR

• endoscopy has a paper version and an EPR version.
• heart cath has both paper and EPR versions of the report.

Data still recorded only outside of EPR / on paper

• continuous medication infusions
• vital signs for apache from icu flowsheets,
• amount of blood products delivered from the blood transfusion record sheet
• TEE reports for patients having OHS
• echo reports
• anesthesia record
• blood product sheets (orders for blood should be on EPR) Sometimes the orders and other sources of information (flow sheets, blood product sheets) differ.
• nurses flow sheets
• intake and output sheets
• CRRT sheets
• GCS sheets