Tuesday, November 3, 2020

Patient ED Charts (Part 2)



TAB DESCRIPTIONS CONT.

4. Nursing Assessment:
This tab is divided into 4 sub-sections;

Patient Observations
  • Breathing
  • Circulation
  • Elimination
  • Disability
  • Mobility
  • Consumption
  • Exposure
Waterlow Assessment

Skin Evaluation

Infection Prevention


5. Nursing Notes:

Sub-divided into tabs, 1st tab has signature log, plus 10 other tabs each allowing written descriptions of 3,000 characters each.
 

6. Daily Fluid Chart:

Covers 3 days of fluid intake and output (multiple fluid types) on an hour by hour basis. Each day is self-calculating and transfers previous days balance to following day. Additional days are easily added.



If you are a medical consultant working for an Emergency Trauma Hospital or know of another consultant or hospital who would like to collaborate with us (CompassAFM) on the development of PatientManager, please contact us at info@compasspatientmanager.com
We would love to hear from you.
Dominic Murnane

MD Compass AFM 


PatientManager® and its logo is a registered trademark and owned by Compass Software Technology Limited (T/A CompassAFM). All product images are protected by copyright© (2019 -2021) and may not be used without the written permission of the owner - Compass Software Technology Limited. All rights reserved.



Monday, September 14, 2020

Patient ED Charts (Part 1)

 The Patient ED Chart is central to patient care.


 

This is a multi-tabbed layout where all the patient observations, assessment, treatment, scans, reports and much more is captured in an electronic document. A new document is created each time the patient attends ED and most important of all....  ALL previous attendance charts are instantly available.

TAB DESCRIPTIONS

1. Patient Details:
This tab and the next would be primarily used at the Triage stage;
  • Patient details confirmed
  • Covid checklist
  • Attendance details
  • Canula Insertion / Removal record
  • Test results recorded and results from and ECG, X-Ray etc stored as images / documents.
  • Lab samples sent.
2. Social Circumstances:
  • Family Details and Support
  • Patient Mobility
  • Communication
  • Observed Impairments
  • Services Used e.g. Home Help
  • Personal Property Details
3. Meds, Fluids, O2 Administration:

  • Arranged in a linear mode, in 3 sections.
  • Unlimited number of entries can be made per section



If you are a medical consultant working for an Emergency Trauma Hospital or know of another consultant or hospital who would like to collaborate with us (CompassAFM) on the development of PatientManager, please contact us at info@compasspatientmanager.com
We would love to hear from you.
Dominic Murnane

MD Compass AFM 


PatientManager® and its logo is a registered trademark and owned by Compass Software Technology Limited (T/A CompassAFM). All product images are protected by copyright© (2019 -2021) and may not be used without the written permission of the owner - Compass Software Technology Limited. All rights reserved.

Thursday, August 6, 2020

ED Attendance Module (Part 3)

 Show on ED Status Board

  

Once the patient has been Triaged, if they have not been discharged, they will be moved to another area within the ED for further treatment, to be seen by a doctor or admitted to the ED for longer term observation / treatment. The ED status board layout is a "live" picture of the occupancy within the Emergency Department. While it is managed via a PC screen, ideally it would be a projected on wall display much like what you would see behind the counter at McDonalds or airport departure lounge.


This gives the nursing staff, doctors, etc., live access to wide array of patient information, cubical status and much more. This would be far more efficient than using a standard white board. This is not to be confused with the 'Admission' layout, the intent is to show all patients within the ED; admitted, pre-admitted and those receiving treatment who will not require admission.


If you are a medical consultant working for an Emergency Trauma Hospital or know of another consultant or hospital who would like to collaborate with us (CompassAFM) on the development of PatientManager, please contact us at info@compasspatientmanager.com
We would love to hear from you.
Dominic Murnane

MD Compass AFM 


PatientManager® and its logo is a registered trademark and owned by Compass Software Technology Limited (T/A CompassAFM). All product images are protected by copyright© (2019 -2021) and may not be used without the written permission of the owner - Compass Software Technology Limited. All rights reserved.

Wednesday, July 22, 2020

ED Attendance Module (Part 2)

On presentation at the Emergency Department, the patient's details can be easily checked and amended if required. Also their attendance details can be added (mode of arrival, referral source and previous attendances etc.). Both by clicking a simple button.

Other buttons on the ED Patients Check In Layout allow the user to view the GP Referral, Discharge the patient and begin the process of admitting the patient as an In-Patient. 

So far the features of the ED Patients Check In Layout are pretty standard, this begins to change with the pop-up Triage layout.

 

As we have said before, PatientManager is a virtually paperless EDIS / EHR software solution, from this layout the Triage nurse  has access to the patient's details, GP Referral, and most importantly any previous ED charts, BUFS (Blood, Urine, Faecal and Swab lab results) charts and prescribed medication charts.


Where the hospital used paper ED and other charts prior to PatientManager, these could be scanned and stored as .pdf files, which could be opened within the database.

The Triage nurse can also access the digital Admission Chart if the patient had been admitted previously again it would be possible to scan and store historic paper charts as .pdf files.

The goal is to give nurses and doctors instant access to the patients entire medical history and data.

If you are a medical consultant working for an Emergency Trauma Hospital or know of another consultant or hospital who would like to collaborate with us (CompassAFM) on the development of PatientManager, please contact us at info@compasspatientmanager.com
We would love to hear from you.
Dominic Murnane

MD Compass AFM 


PatientManager® and its logo is a registered trademark and owned by Compass Software Technology Limited (T/A CompassAFM). All product images are protected by copyright© (2019 -2021) and may not be used without the written permission of the owner - Compass Software Technology Limited. All rights reserved.

Tuesday, July 7, 2020

ED Attendance Module (Part 1)

 The ED Patients Check In Layout is for the registration of all patients arriving at the Emergency Department. 

 

Features looking from left to right...
  • Special patient requirements i.e. Isolation
  • Photo ID
  • Patients ID number - links to patient details and pop-up to enter attendance details
  • Name
  • GP reference (as mentioned in previous post) identified & viewable
  • Timestamp on ED entry
  • Total time in ED with colour code
  • ED Visit ID 
  • Triaged By
  • Pop-up to Triage details and ED chart generation
  • Time Triaged
  • Patient treatment urgency level
  • Patient current location
  • Patient presentation details from Triage
  • Pop-up to Doctors notes and patient ED chart (current & historic)
  • Seen by doctor & time
  • Admission notes (allows entry of location historic paper notes / chart)
  • Event Log of patients passage through ED

Other buttons...
  • Discharge - to remove patient from list and move record to archive module.
  • Admit to Ward - To transfer patient details to In Patient module and remove from list.
  • Show on ED status board - a special layout that could be displayed on a big screen in ED (eg those seen in airports).
  • Dashboard - opens multiple mini windows on RHS showing various customisable status options.
  • Numeric info bar at bottom. 
  • All columns are sortable.
  • All patients can be displayed or by a particular location.


The ED Patients Check In Layout also has a customisable dashboard allowing real-time graphical analysis of the ED / Triage status.


If you are a medical consultant working for an Emergency Trauma Hospital or know of another consultant or hospital who would like to collaborate with us (CompassAFM) on the development of PatientManager, please contact us at info@compasspatientmanager.com
We would love to hear from you.
Dominic Murnane

MD Compass AFM 


PatientManager® and its logo is a registered trademark and owned by Compass Software Technology Limited (T/A CompassAFM). All product images are protected by copyright© (2019 -2021) and may not be used without the written permission of the owner - Compass Software Technology Limited. All rights reserved.

Tuesday, June 16, 2020

GP (Doctor) Referral

 Time and information are keywords in patient care. Many patients arrive at the Emergency Department following a referral from their GP (Doctor). The  information relating to their condition can be conveyed to the hospital by several means;

  • A letter
  • Email
  • Fax
  • Online Electronic Service
PatientManager takes this one step further. The GP has access (limited*) to PatientManager via a web browser to a dedicated referral module. From here the doctor can enter details relating to patients condition, treatment, medication, can upload images relating to the case and provide additional hand sketches.
 
 

By clicking on the blue "H" button the hospital is alerted to the referral and due arrival of the patient. Thereby, if required, the information relating to the patient can be reviewed in advance of arrival and any necessary preparations made.

The doctor can also see if the patient did attend the ED as referred and later that they have beed discharged.

* A GP's access to PatientManager would be determined by hospital management and also GDPR rules.

If you are a medical consultant working for an Emergency Trauma Hospital or know of another consultant or hospital who would like to collaborate with us (CompassAFM) on the development of PatientManager, please contact us at info@compasspatientmanager.com
We would love to hear from you.
Dominic Murnane

MD Compass AFM 


PatientManager® and its logo is a registered trademark and owned by Compass Software Technology Limited (T/A CompassAFM). All product images are protected by copyright© (2019 -2021) and may not be used without the written permission of the owner - Compass Software Technology Limited. All rights reserved.

Friday, April 24, 2020

Module - Patient Details

 Within an Emergency Department, there is nothing that generates more difficulty and issues, then when a patient arrives without ID and is unable to communicate - A John / Jane Doe.

Especially if the patient is badly injured or has suffered a major trauma, missing information can delay essential treatment, while critical data is freshly obtained i.e. blood type etc.

PatientManager stores very detailed information on each patient including photo ID, personal information, personal carers / NOK, Insurance, GP. Every field is searchable singularly or as part of a group.This means over 40 different searchable field to identify or confirm the identity of the patient. This makes positive identification highly probable and greatly lowers the risk of the patient being a John / Jane Doe. A large comments field can be also used to add additional searchable data, such as an identifiable birth mark, scars etc.


 

 Within this module there will also be access to full In / Out patient history, an audit log tracking all data changes and an 'actions' tab for access to additional tasks such as printing labels etc.


If you are a medical consultant working for an Emergency Trauma Hospital or know of another consultant or hospital who would like to collaborate with us (CompassAFM) on the development of PatientManager, please contact us at info@compasspatientmanager.com
We would love to hear from you.
Dominic Murnane

MD Compass AFM 


PatientManager® and its logo is a registered trademark and owned by Compass Software Technology Limited (T/A CompassAFM). All product images are protected by copyright© (2019 -2021) and may not be used without the written permission of the owner - Compass Software Technology Limited. All rights reserved.

Tuesday, March 31, 2020

Module Home Pages

 Each module's homepage (layout) will have a common visual theme. 


 

 Split over 4 tabs;

  • Details - 'Instant' tools to access the most common required info or tasks
  • Search - Search all records within layout with most common search fields
  • Layouts - Navigation within module
  • Reports - Multiple built-in ready to use reports.



If you are a medical consultant working for an Emergency Trauma Hospital or know of another consultant or hospital who would like to collaborate with us (CompassAFM) on the development of PatientManager, please contact us at info@compasspatientmanager.com
We would love to hear from you.
Dominic Murnane
MD Compass AFM 


PatientManager® and its logo is a registered trademark and owned by Compass Software Technology Limited (T/A CompassAFM). All product images are protected by copyright© (2019 -2021) and may not be used without the written permission of the owner - Compass Software Technology Limited. All rights reserved.

Monday, March 16, 2020

Set Up Layout

This is the main administrative area of PatientManager. This gives an "Admin" level user to make comprehensive changes across the database without needing assistance from CompassAFM. For example:

  • All drop-down menus can be modified.
  • Data lists can be modified
  • It allows users to be added or removed from the database.
 



PatientManager allows for unlimited creation of data lists, working with CompassAFM, creation of new lists can potentially be completed in just a couple of hours. Once created all new data entry or modifications can be easily carried out by the appointed hospital database administrator(s)
 



Similarly, it will be very easy to add or remove users. There will be multiple levels of access dependant on the users role within the hospital.



If you are a medical consultant working for an Emergency Trauma Hospital or know of another consultant or hospital who would like to collaborate with us (CompassAFM) on the development of PatientManager, please contact us at info@compasspatientmanager.com
We would love to hear from you.
Dominic Murnane
MD Compass AFM 


PatientManager® and its logo is a registered trademark and owned by Compass Software Technology Limited (T/A CompassAFM). All product images are protected by copyright© (2019 -2021) and may not be used without the written permission of the owner - Compass Software Technology Limited. All rights reserved.

Wednesday, March 4, 2020

The Home Layout

 Well over the last couple of weeks we have been experimenting with various ideas for a home layout and this is where for the meantime what we will use...


 

The idea is that it is a 'welcome' personalised to the user and with quick access to the main modules. So let's go through the design.

  • The Hospital graphic can be replaced by any image the user (hospital) desires.
  • The tree logo again can be replaced by the hospital logo
  • Personal greeting to the user.

  • On the right there will are links to 6 modules;
    • Patient Details: Comprehensive details on the patient including personal information, In & Out patient history.
    • GP Referral: This will allow a GP (General Practitioner) to provide in advance to the hospital, patient health & medication details, treatment carried out, images (inc ECG & X-Rays), Hand drawn sketch. As well as advising of imminent attendance of the patient to hospital ED.
    • ED Attendance: Tracking of patient on arrival to ED, Triage, Generation of new ED Chart and access to all historical charts. Generation of ED Status board, Admission of patient to Ward.
    • Paramedic Callout: Ability for paramedics to transfer data to ED on patient condition while on route to ED.
    • Out Patient Appointments: Allows the generation of appointments from various clinics and capture of patient care data from appointment.
    • In Patient Admissions: Admission of patient to ward, and capture of all patient care data while and in-patient. Bed management and billing functions.

  • On the bottom there are links to 4 functions;
    • Set Up: To setup hospital information, Administrative Data Lists (consultants, patient locations, insurance companies etc.), Medical Data Lists (Triage Trauma Categories, Blood Test Categories etc.).
    • Help: Access to full online help and tutorials.
    • Mobile Access: Layouts designed to work with mobile devices & tablets.
    • Scanning: Ability to scan both bar & QR codes.

  • Also not shown on image, full drop down navigation available from every layout, allowing you to easily navigate through PatientManager with a single click.




If you are a medical consultant working for an Emergency Trauma Hospital or know of another consultant or hospital who would like to collaborate with us (CompassAFM) on the development of PatientManager, please contact us at info@compasspatientmanager.com
We would love to hear from you.
Dominic Murnane
MD Compass AFM 


PatientManager® and its logo is a registered trademark and owned by Compass Software Technology Limited (T/A CompassAFM). All product images are protected by copyright© (2019 -2021) and may not be used without the written permission of the owner - Compass Software Technology Limited. All rights reserved.

Thursday, February 13, 2020

Design Theme



When designing the theme for PatientManager, we are going to start with ideas that we know work and have received very good feedback in the past.

If you expect PatientManager to have the typical database grey background or look like an upgraded spreadsheet, well that will not be the case. 


Colours will be bright and changing dependant on module and type of layout. 


This is a screenshot from our current FacilityManager solution.

All corners are rounded, as this has been proven to reduce both eye tiredness and improve alertness and efficiency. Fonts will be contrasted against the background colour to make them easier to read. There will be multiple means of navigation so finding the required layout should at most be only 1 or 2 clicks.

The various modules will be like chapters in a book, with a distinct homepage for each, from where you will be easily able to access the related layouts, perform searches or generate reports.

The concept of the theme will be 'easy on the eye' and easy to use'.


If you are a medical consultant working for an Emergency Trauma Hospital or know of another consultant or hospital who would like to collaborate with us (CompassAFM) on the development of PatientManager, please contact us at info@compasspatientmanager.com
We would love to hear from you.
Dominic Murnane
MD Compass AFM 


PatientManager® and its logo is a registered trademark and owned by Compass Software Technology Limited (T/A CompassAFM). All product images are protected by copyright© (2019 -2021) and may not be used without the written permission of the owner - Compass Software Technology Limited. All rights reserved.

 


Tuesday, February 11, 2020

Getting Started

So lets get PatientManager started...

Over the past weeks we have been reviewing what layouts, scripts, concepts etc., that already exist in our other database (FacilityManager) that we could reuse or modify to facilitate a faster build time. In fact we found quite a few. The technical (in the broadest meaning of the word) similarities between maintaining the health of plant and equipment and maintaining the health of a patient do have similarities. For example;

  • Checking a patient into the Emergency Department  -> Logging a piece of equipment for repair
  • Assigning a consultant to a patient -> Assigning an engineer to carry out the repair
  • Booking a bed for a patient -> Booking a parking space for a staff member.
So you can see a trend here.

It is time to start building to see what can be accomplished easily and what will take more time and insight. Over the next few posts we will looking at:

  1. Choosing a design theme and building a homepage layout
  2. Building a 'Setup' Layout
  3. Setting up client modifiable data fields and lists
  4. Creating a patient information record.


If you are a medical consultant working for an Emergency Trauma Hospital or know of another consultant or hospital who would like to collaborate with us (CompassAFM) on the development of PatientManager, please contact us at info@compasspatientmanager.com
We would love to hear from you.
Dominic Murnane

MD Compass AFM 


PatientManager® and its logo is a registered trademark and owned by Compass Software Technology Limited (T/A CompassAFM). All product images are protected by copyright© (2019 -2021) and may not be used without the written permission of the owner - Compass Software Technology Limited. All rights reserved.