Showing posts with label eSafety. Show all posts
Showing posts with label eSafety. Show all posts

eSafety Alert - Other Labs in Results Review

eSafety alerts highlight CIS phenomena that require particular attention...
  • Lab Results in 'Other' Results Review
Early in the Connect Care launch, it was appreciated that some laboratory results were not filing to clinically expected categories and subcategories of the Results Review tables. Tests with unique identifiers not yet recognized would appear in an 'Other' category.

Physicians need to be careful to not miss potentially important information while test mappings are being optimized (work progresses quickly but could take another week).

It is always possible to review results chronologically and to use search or filters to find a result of interest. If Results Review is used (convenient organization of many results in one place), then a simple technique can clarify where any 'Other' results belong. This is demonstrated in a very short video (1 min):
Even after test mappings have been optimized, there is always risk that a new interface with a new lab provider will result in a test that does not map to the outline at first. So this technique is good to remember.

eSafety Alert - Dosing vs. Recorded Weight

eSafety alerts highlight CIS phenomena that require particular attention...
  • Note Dosing vs. Recorded Weight
Some orders (particularly for neonates, infants and children) are adjusted to patient weight.

The latest recorded weight (vitals) may reflect hydration, edema or other clinical factors. A medication dosing weight can be declared at admission (and periodically updated) to assure appropriate adjustments despite weight fluctuations.

Hovering over the vitals section of the Patient Storyboard allows a quick check to see if a dosing weight has been specified.


Be careful when ordering weight-adjusted medications. The default selected weight may not be best for the clinical circumstance. Explicitly select the weight to be used in calculations.


This eSafety alert is particularly important to Pediatrics, NICU, PICU contexts.