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?

• SMW

• Cargo

• Categories

Implementation Status

All sites are at different stages of EPR implementation.

Data only documented in EPR

• fully implemented at STB
• 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
• nurses flow sheets
• intake and output sheets
• CRRT sheets
• GCS sheets