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| === Keeping track of what has been reviewed ===
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| One of the reasons some people keep paper is that they track on paper when they have last looked at labs etc so they know where to count from next time they review the chart. This is not a problem at SBGH where data can be collected from the EPR after discharge since the chart is always available.
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| Is there a way to facilitate this in CCMDB.mdb that would add the least manual entry overhead for the greatest facilitation and paper reduction?
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| ==== Option 1 - "last collected" dates ====
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| I have had a suggestion that adding date/time fields to the program that would set to "now" upon double-clicking them would mean one more thing tracked in the .mdb rather than on paper. These fields would not be mandatory and they would not be sent in, they would just be for your own use.
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| Suggested date/times were:
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| *LAST COUNTED LABS
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| *LAST COUNTED EKG
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| *LAST COUNTED CXR
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| *LAST COUNTED PHARM
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| *CHART REVIEWED
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| This seems the simplest option to add to CCMDB.mdb, but it may not be much use to those who "tick" or flowsheet at this time.
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| * thoughts?
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| **I know what the collectors are thinking here but would this not be labor intensive inputting dates for each and every single lab item so you can remember where you left off? My thoughts are this, count lab retrospectively. I believe that is what most are doing anyway. Example if you are in on Monday Oct 25 you would count all labs up to midnight Oct 24. The next time you are in, say Wednesday Oct 27th, you would started counting labs from Oct 25 0001 hrs to Oct 26 midnight. You would only have to put one date to remind you when you last counted labs for a patient. Maybe that is what you have in mind and I have misunderstood. --[[User:TOstryzniuk|TOstryzniuk]] 19:42, 27 October 2010 (CDT)
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| ** thoughts and further suggestion from Collectors? We are trying to make the data collection tool work for you.--[[User:TOstryzniuk|TOstryzniuk]] 19:42, 27 October 2010 (CDT)
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| ==== Option 2 - electronic flowsheet ====
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| We could make sheets in ccmdb.mdb that have columns for dates and lines for e.g. the drug or test in question.
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| * Any opinions? This is the most comprehensive, but I worry that this will cause a lot of overhead entering.
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| ==== Option 3 - ticks in charts ====
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| Some locations (e.g. MWaschuk@Grace) put ticks in the charts up to how far they have collected. Other locations tell me that sometimes whole pages of records are missing. Would going through the chart chronologically and relying on ticks miss such data loss?
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| Also, where "ticks" are used, what are people using for ticks? If we are going to have coverage across sites this should at least be consistent. Anyone else using purple yet? We could use purple ticks? Or some quick-drawn symbol, maybe. A tick seems like something that could arrive by accident...
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| * thoughts? [[User:Ttenbergen|Ttenbergen]] 15:37, 25 October 2010 (CDT)
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| **I use a small yellow highlighter line in the margin of the ipn (integrated progress notes) to mark where I left off. [[User:DPageNewton|DPageNewton]] 17:00, 2 November 2010 (CDT)
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| Trish (or anyone): Can you see any concerns if this were implemented? Would we automate something that could be done easier, or maybe doesn't need to be done at all? Any thoughts along that line? [[User:Ttenbergen|Ttenbergen]] 15:37, 22 October 2010 (CDT)
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| *I think from previous conversations with other collectors that this is a very unit-specific thing. I make a small pencil check on our MAR sheets indicating where I left off with the count. For long term pts I make a pencil check on the bottom of a page that is finished, so I know that I am done with that page completely. Our staff know that these marks are mine and leave them alone, so it has not been a problem. [[User:BDeVlaming|BDeVlaming]] 14:45, 3 November 2010 (CDT)
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| **I notice I may have many drugs on the Access pharm list for a file; but only one or two meds are still actively being given. Is there some way that we could "highlight" or flag Pharm entries that no longer need to be collected because the med has been stopped or the dosage changed?? If the drug is restarted later we could remove the flag and enter further doses and treatment days.[[User:Mlaporte|Mlaporte]] 20:47, 15 November 2010 (CST)
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| === Facilitate exchange of patient discharge times === | | === Facilitate exchange of patient discharge times === |