We would be very interested in how you built the report mentioned in number 5 that tells who has a central line. Thanks, Karen Birkenholz, MT (ASCP) LIS Analyst Norman Regional Health System 405-307-1135
________________________________ From: [EMAIL PROTECTED] on behalf of Davis Daniel - Southern Hills Sent: Wed 8/8/2007 1:41 PM To: Bruckert, Sandy; Kowalczyk, Susan; Saira Somani-Mendelin; meditech-l@MTUsers.com Subject: Re: [MEDITECH-L] LAB/OE/CPOE: Collected by Nurse query I can only talk from our experience. Here are the steps we took: 1) We evaluated every query on each CDS. Was it really something that someone would know when they enter the order? If not we eliminated those questions because we had simply trained our secretaries to go ask the nurse to find out that information. 2) We evaluated the remaining queries as to was this information that anyone actually used, and if so how and why. We eliminated those queries that had gotten on the CDS for some reason in the past and no one could remember why and were not using them now. 3) We evaluated the remaining queries for ones that were gathering information that already existed in Meditech somewhere. If the information existed in Meditech we determined if we could simply pull it into the requisition in some way, or if we would use either the system or attributes to fill in that information, and whether the physician really needed to see that information or not. 4) We evaluated the remaining queries for how accurate the information was that was entered currently by Unit Secretaries. For instance the question of how the patient was transported that was on the radiology orders was not answer accurately enough for radiology to rely on, so we looked at other ways to get that information for the transporters. 5) Regarding the CBN query, we defaulted it based on location knowing that the law of averages would indicate that most patients in ICU would be correct with the CBN query as "Y" and that most patients on Med/Surg would be correct with the CBN query as "N". We allowed the cursor to stop so that anyone entering the order could change the default. So, if the physician was aware that the patient had a central line when they were on Med/Surg they could indicate it. But, we didn't stop at that. We pulled a report that listed all patients with a specific query filed in the last 24 hours. That query was a required query on our IV screens that would indicate that someone in the last 24 hours documented that the patient had a central line. Prior to going out to begin their collections for a specific time, the phlebotomists run that report and either call the nurses station to double check the list, or stop by the nurses station to do the same. 6) We made many additional OE screens because we didn't want any query there that wasn't absolutely required. So, where before we might have had the same CDS attached to nearly all labs, knowing that the US would simply skip the inappropriate queries, we now had multiple screens that allowed us to eliminate inappropriate queries from some tests. 7) We either removed the campus query or we valued it based on location so that was one less query for folks to mess with. Essentially our approach was that if the OE system appeared too complicated for physicians it was probably too complicated for Unit Secretaries as well. Anything that we could answer for folks onscreen turned into a query that was removed from the physician screen and defaulted using the auto default option. Our process ended up making OM less confusing and faster for our own staff as well. We avoided like the plague the though of cueing up orders for the secretary or nurse to complete! Daniel Davis -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Bruckert, Sandy Sent: Wednesday, August 08, 2007 11:47 AM To: Kowalczyk, Susan; Saira Somani-Mendelin; meditech-l@MTUsers.com Subject: Re: [MEDITECH-L] LAB/OE/CPOE: Collected by Nurse query Yes, please post to the L -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Kowalczyk, Susan Sent: July 31, 2007 10:17 AM To: Saira Somani-Mendelin; meditech-l@MTUsers.com Subject: Re: [MEDITECH-L] LAB/OE/CPOE: Collected by Nurse query Please post to L. Thanks! -----Original Message----- From: Saira Somani-Mendelin [mailto:[EMAIL PROTECTED] Sent: Tuesday, July 31, 2007 9:39 AM To: meditech-l@MTUsers.com Subject: [MEDITECH-L] LAB/OE/CPOE: Collected by Nurse query Hi, We are curious as to how other sites are handling the CBN query in the CPOE world. Further to that, how are you handling the completion of other such queries by the physician? We are looking for best approaches, practices, etc. Our physicians only want to point, click, and order. They do not want to be bothered by queries. Your feedback is appreciated. Thank you! 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