Requested CCMDB changes for the next version

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Revision as of 14:34, 2012 June 18 by TOstryzniuk (talk | contribs)
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see the Development Documentation Category for other development logs

Bug Fixes

  • fix the error checking for overstay project to not allow any missing tmp entries (possibly more)
  • able to uncheck checkboxes without finalcheck unchecking. Need to determine if this could lead to bad data going through. Ttenbergen 14:45, 2012 May 22 (CDT)
  • as per Lois, and confirmed by other collectors at the team meeting: "Every once in a while when I open my files the ADL’s appear on my registry page for CICU. I go in and out and they disappear."; have asked if anyone can provide specific steps that can make this happen. Ttenbergen 18:42, 2012 June 7 (CDT)

Pharm Flow & L_Pharm_Flowsheet_sum

  • Can't check L_pharm_flow complete if there is no time for discharge. (Thanks Joyce for bringing that piece of the puzzle) Ttenbergen 13:10, 2012 June 18 (CDT)
    • Trish & Julie Reviewed L_Pharm & L_Pharm_Flowsheet_sum. The intergrity check that sums the drugs does not work if discharge time is not entered. We weren’t aware that the discharge time is not always available for collectors and that would hold up calculating totals to L_pharm_flowsheet_sum.
    • Julie suggestion is this: do not to use (LOS with date and time) + 2.
      • Use the following: (Discharge date – admit date) + 1. With this formula, you will need to worry about having a discharge time in order to calculate pharmacy totals.
    • Example:
      • Admit date June 13.12
      • Discharge Date June 13.12
      • This is the same day, there for it would become zero. That is why it is suggested to add +1.
    • Another example:
      • Admit date: June 12
      • Discharged: June 14
      • 14-12 =2 days however, we need to include the first day also therefore, so with the addition of +1 this would capture 3 days.
        • This will definitely solve Joyce’s concerns for sure.Trish Ostryzniuk 14:34, 2012 June 18 (CDT)


Collection tool improvement requests

Empty Var field eliminations

  • remove Variable fields that are no longer used from forms in DB; Template:Discussion which ones should be removed? Ttenbergen 17:41, 2012 March 16 (CDT)
    • emailed Trish with this question Ttenbergen 13:22, 2012 April 12 (CDT)

Organ Donor Check

difficult, not sure what to do

  • fix/improve/document duplicate error msgs Ttenbergen 17:28, 28 July 2011 (CDT)
  • apache check is no longer yellowing fieldsTtenbergen 10:09, 10 January 2012 (CST)
    • yes, it is no longer yellowing the field, just the error box below. Can't find trace of the code, and not sure when it was changed. Ponder whether to re-instate, error checking is still being called and still prevents sending... Ttenbergen 17:13, 2012 January 31 (CST)

!_Automated_Data_Integrity_Checks updates

Next Round of Data Changes

none for now

Bugs that need replicating

In order to troubleshoot bugs in the program we need to know how they happen. There are a number of articles about known bugs we are trying to fix in the bugs category. Any further feedback on these bugs might be the piece of the puzzle that allows me to fix the bug.

Duplicate Priority error in Dxs when there is no duplicate Dx

I saw on Joyce's PC an error for a duplicate diagnosis priority when there was not one. I can't duplicate the error. Is anyone else getting an error about duplicate priorities when there are none? If so, can you tell me under what conditions the error happens? Ttenbergen 16:58, 1 September 2011 (CDT)

Changes Under Discussion

These requested changes can not be processed until the questions about them have been answered. Wherever possible the discussion should conclude in the home article of the topic. If a topic has no home article, it can be listed here.

automate prioritization of acquireds/complications

Acquired Diagnosis / Complication#Automating Priorization

Integrity rule for ER Wait dates in TMP file

will need to bring in details from our email exchanges. Ttenbergen 17:56, 2 June 2011 (CDT)

QA_Infection

Help to manage Serial numbers

If I understand right data collectors currently collect one or more locations from one or more pools of serial number pools. Details of the serial number system are located in Serial number. This has been flagged as one reason why people find paper printouts of the most recent patients sent useful.

Serial numbers have to be unique for a collection location, so if a ward like HSC_H4H is collected on by multiple collectors then a serial number must never be re-used. This is currently achieved by assigning blocks of numbers for each 100 possible serial numbers to a given collector (again, see Serial number for details).

A serial number must be entered before any other data since access uses it to set the relationships for the data. To accomplish that, function new_pat_id() opens a window requesting the serial number pops up when "add new patient" is clicked on the patient list.

Added question to Serial_number#Special-Use_Serial_Numbers to find out if any serial numbers need to be "reserved".

Possible Solution 1

The program would provide a default serial number. For locations with only one serial pool, this would be a one-step, transparent process. Collectors with more than one serial number pools would get a dropdown list of possible pools; upon choosing one the program would default to serial (most recent+1). Collectors using only blocks of serial numbers would have to keep track if they are "leaving" their block (e.g. if you are using only 20-39 and the program defaults to 1140, you would have to realize that and change it to 1220).

To accomplish this, the _info table would store

  • variable: serial_pools, value: comma-separated list of wards
  • for each ward, a variable "Serial_pool" & <ward> (e.g. Serial_pool_HSC_H4H) with the most recent value used, updated automatically by the serial wizard

Template:Discussion

  • Any thoughts about this? Do you think it would/wouldn't work or be helpful? Especially, do you think collectors would consistently "catch" the ends of blocks?
    • This may not work as planned as there are times when the data collector assigns a number to a patient file in her log book but is unable to use it immediately and must use numbers out of order (even though the numbers are assigned in the right order).--CMarks 08:39, 30 November 2010 (CST)

Possible Solution 2

If we are not able to provide the next number on the list, we could at least suggest it, and then do error checking on what is chosen. Scenario: When the "Add Patient" button is clicked on the Patient List, the msg box could default to (highest serial currently on the laptop)+1. If a different number is desired, the collector could change it. This would be followed by the existing checks for a blank ID and for an existing ID. The program would then check if the ID was smaller than the largest ID already present (since some collectors use multiple indices, this error would be ignorable). The program could also check if the new Patient ID is more than “X” greater than the previous max(Pat_ID) (what would be a reasonable "X"?) (again, this error would be ignorable). Template:Discussion

  • Do you think this would be helpful? Can you see problems with this? Ttenbergen 14:14, 15 July 2011 (CDT)
    • Hi Collectors - is this still something that would be helpful or not? Please advise, if not we will take it off change request list. Thanks kindly.Trish Ostryzniuk 14:52, 2012 April 3 (CDT)

Facilitating diagnosis entries

Template:Discussion

  • As discussed at the Meeting Laura Kolesar is reviewing the names of the diagnoses we use to make it more likely that you get the right one when you start typing. Laura, any progress on this? Ttenbergen 19:24, 30 December 2010 (CST)
    • I have put the respiratory system changes on the regional server site for Tina and Trish to review before I proceed with similiar changes to the other systems. When you get a chance, take a look and see what you think. --LKolesar 14:08, 21 January 2011 (CST)
      • can't find the file, could you tell me the file name and location on the regional server? Ttenbergen 18:03, 14 July 2011 (CDT)

Extra "pathogens"

As part of an effort to reduce relying on paper notes during collection, Marie brought up the possibility to put "waiting for tests" and "review" as options into the pathogen dropdown and to conditional-format the field in orange if they are chosen. Of course, choosing them would also disable checking DX complete.

Some of you are entering Unknown Pathogen, and then re-check all patients with unknown pathogens before sending.

Template:Discussion

  • Actually, I don't understand how this is better than just leaving the entry as "No Value" until you know what you will put there. This way you would get an error if you tried to set the dx to complete. Can someone explain to me how a different dropdown would improve upon this? I don't see how you use this in the field, so I might be missing something. Ttenbergen 19:43, 30 December 2010 (CST)

Also, some of you were addressing here how long they wait for a pathogen which is not immediately available; that is discussed in the article Pathogens. Here i am wondering if additional options would make collection easier.

        • Hi Collectors - does this still need to be on Tina's list of changes requested? If you don't have a pathogen then leave it blank until you find it. Why put unknown or add yet another option waiting for test? The assumption is if it is blank, you are waiting for results. Once you know it, you fill it in or put unknown pathogen. Please advise otherwise this request will be taken off this list. thanks everyone.Trish Ostryzniuk 14:49, 2012 April 3 (CDT)
  • I would take the request off the list. --LKolesar 20:43, 2012 April 5 (CDT)

change Final_checks to dropdown to allow for more options once we start to be able to send back data

  • add s_FinalChecks, fix all spots that use FinalCheck (or make a function to check it)

Previous requests that were not addressed (with reasons)

Default location field to main collection location

There have been requests to default the location field to the main (or only) collection location. I could set this up, but defaulting these would increase the chances of the data just being left in there if a patient is an exception. Upon consultation with Trish it was decided not to risk an increase in errors to make this more convenient.

  • "There are a number of site collecting on 2 or more units using the same laptop. We get ward location entry error when there is a default location set." ... "--TOstryzniuk 12:25, 20 October 2010 (CDT)"

PS: If I enable defaulting for anywhere then I would not be able to disable defaulting for other locations, so it was decided not to have defaulting. Ttenbergen 12:44, 12 January 2011 (CST) I have, though, reduced the location list to only those wards at a given laptop's site. Ttenbergen 18:09, 14 July 2011 (CDT)

Cancel for Settings

change the settings form to have a save and a cancel button...

No can do. There are is a sb-form in settings form that would not be cancelled, so having a cancel would be misleading.

Off-line copy of wiki for laptop

see Wiki onto laptops

APACHE lab value limit change request

  • Apache upper limit for creatinine is 2968, which is based on the highest APACHE that was ever in database. STB has one pt with a creat of 3000 and has requested to change upper limit. Laura K. --TOstryzniuk 12:12, 6 July 2010 (CDT)
    • Decided to leave limits be and have collectors enter limit values and email Pagasa with real values when extreme values are encountered. Contacted Pagasa to let us know if such emails become too frequent. Ttenbergen 08:53, 12 July 2010 (CDT)