Transcript Anesthesia Manager v8.5 Changes

Anesthesia Manager Training
“Version 8.5 Changes”
Critical Changes
2 critical changes
• LDAP interface
• Quality Measures (required fields)
Anesthesia Start Time
Antibiotic Compliance
• You will NOT be able to TRANSFER your patient
without completing the above quality measures
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Presentation Title
Critical Changes
“LDAP Interface”
 Allows
you to login to SIMS using
your TOH Windows Password
 No longer have to create a separate
SIMS Password
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Presentation Title
Critical Changes
“Quality Measures-Required Fields”
1. The Quality Measures screen will launch automatically when you transfer the patient
2. The standard Demographics window
will open to remind you that any event
in RED must be completed to insure
your record is complete.
The only two fields that should be in
RED at this point are “Anesthesia case
finish time (F)” and “ANES: QA
Indicator”
3. Hit the “Close button”
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Presentation Title
Critical Changes
“Quality Measures-Required Fields”
As per the previous slide, we have decided to create TWO “Required Fields”
• You will NOT be able to TRANSFER your case until completed
Anesthesia Start Time
• This should be the first macro you click when starting a case. It is very
important for MOHLTC reporting. Currently, ours SIMS Analysts need to
enter this time when it is missing. This is OUR responsibility.
Medications (Anti-Infective)
• This should NOT be an issue if an antibiotic (of any class) is documented
prior to surgical incision
• In situations where NO antibiotic is administered (not requested or
received at another location), we will place a “0” (ZERO) in the
CEFAZOLIN order at any point in the Anesthesia Session.
 This has been determined to be the most accurate way to determine
antibiotic compliance
– Antibiotic compliance helps to reduce SSI
– Antibiotic compliance may be tied to AFP remuneration in the future
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Presentation Title
Critical Changes
“Quality Measures-Required Fields”
4. Hitting “Close” in the
Demographics box will launch
the “Quality Measures” screen.
You will NOT be able to
TRANSFER unless “Required
Fields” are completed. RED
text = NOT COMPLETED
Transfer button remains “greyed out”.
You must cancel and enter what is
required (in this case, the antibiotic)
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Presentation Title
Critical Changes
“Quality Measures-Required Fields”
4. Hitting “Close” in the
Demographics box will launch
the “Quality Measures” screen.
If “Required Fields” are
completed (BLACK text), the
TRANSFER button will activate.
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Other Changes
Demographic information bug fixed
Custom Icon changes
System Icon changes
Listing of Medications and Fluids
Preop Manager changes
Event Set changes
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Demographic Information BUG FIX
• Banner Name MATCHES Patient
Identification (bug fix)
• Patient will no longer have
duplication of middle name
• Banner will now show:
• Procedure
• BMI
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Presentation Title
Custom Icons
Antibiotic “1’st dose removed as:
•
there are multiple safeguards in place to insure drug is
administered (if required) prior to surgical incision.
•
Business Intelligence software now runs in the background
to remind end user that 3.5 hours has passed since last dose
of antibiotic.
•
Reminder: If antibiotic NOT required, place a “0” in the
Cefazolin field
8.
1
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8.
5
“End GA” now has two options to reflect either the A/W
device being removed or left in place. Choose one or the
other, NOT both. Choose NEITHER if Anesthetic Type is
something other than GA
Presentation Title
System Icons
Notice the very different look to the “Preop Manager
and “OR Manager” icons. These new icons will also
appear on the Desktop
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8.1
NEW “Quality Measures” Icon
Presentation Title
Medications and Fluids
Current 8.1-Medications are displayed
alphabetically
8.5-Medications are NOT displayed
alphabetically.
Service Request launched with PICIS to
correct problem
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Medications and Fluids
•
Medications are actually displayed
as if the “Show subheadings” box
has been selected
•
•
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Medications are listed by FAMILY and
then alphabetically within the family
We will therefore default to the
“Show subheadings” until issue
resolved
Presentation Title
Preop Manager
Currently ALL Body Systems are
contained in field of view
8.5 will require you to hit an icon to see
body systems out of field of view
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Preop Manager
“Frailty Index”
• Frailty Index has been placed as an additional Body System.
• PAU leads to provide additional information
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Protocol Changes
Protocols are an easy way to add multiple medications/fluids to a flowsheet
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Protocol Changes
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•
Protocols also allow us to easily add “combined medications”. In our
original build, we had to create multiple permutations of a “combined
medication” due to a system bug which allowed the end user to overwrite
the entire database.
•
This has been corrected and we will introduce a much cleaner list of
combined medications for specific protocols. This change will be take place
after the 8.5 Go LIVE and specific instructions on how to create a combined
medication will follow at that time.
Presentation Title
Event Set Changes
• Additions will be take place after the 8.5 Go LIVE and will be
communicated once completed
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Presentation Title
Auto Discharge
Tired of receiving e-mails informing you that you have NOT
discharged your patient after 72 hours
• The system will now automatically DISCHARGE a patient
if left in “transfer” mode > 12 hours.
• Please continue to be vigilant and “DISCHARGE” a
patient when required.
This insures there is no issue when a patient needs to
return to the OR within the 12 hour window.
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Presentation Title
Summary
To summarize, there are few changes to Anesthesia Manager
The major change in SIMS is primarily at an IT/IS level
• These changes will facilitate much better system maintenance
• For anesthesia, requested or required changes will occur more
readily as system “down time” will not necessarily be required.
Please feel free to communicate any requests to Ian Zunder or
Rob Jee
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