On Wednesday 06 December 2006 16:33, J Collett wrote: > >-----Original Message----- > >From: Cedric Meyerowitz [mailto:[EMAIL PROTECTED] > >Sent: Wednesday, 6 December 2006 9:04 AM > >To: 'General Practice Computing Group Talk' > >Subject: RE: [GPCG_TALK] Re: BP or not BP? > > > >Our working party for nursing homes in our division would like all nursing > >homes to have computerised Dr & nurses records. Using MD or BP can make > >this happen. Nurses log on as nurses & do their notes & Dr logs on as Dr > > & does his / her notes. Every-one must be able to read all entries > > whether made by a Dr or nurse, physio. Etc. What clinical ins & outs & > > obs do nursing homes do that can't be catered for? If you let me know, > >we can work > >on this. > > I was thinking of the various assessments such as continence and pain but I > suppose these could be developed as templates. I haven't eye-balled any of > the aged care pro-formas for these types assessments so don't know if they > require any clinical data not recorded in conventional GP EHR fields but > was wondering about: > - nutritional intake > - continence flow > - fluid balance > - pain management charts > - restraint management charts > > I may not be asking the question the right way, but my query is, do the > data from these types of charts need to be input in a manner that allows it > to be pulled out later in quantifiable format, rather than just freely > typed progress notes? For example, line graphs or tables or any other > reason? I draw a parallel to inputting regular data into something like MD > Blood Glucose Monitor, Blood Pressures, heights, weights etc; or to be able > to construct a report or summary in a template populated by fields e.g. Mrs > Smith had restraints applied on [Table of Dates and type of restraint and > reason pops in here] > > And, from what I recall of geriatric rehab in America, Physios and OTs had > to record measures such as Range of Motion, strenghtening based on a scale, > type and repetition number of various exercises, use of assistive devices, > ADLs addressed with number of prompts/assists and on and on. They had to > be able to develop and address a problem list and goals/pt outcomes. And I > believe the trend there these days is to capture data back out of physio > software for review and analysis (IM was with pen and paper on triplicate > carbon copies when I was involved in that arena). > > This is just what I could think of off the top of my head and I am probably > being totally anal about this but wondering exactly how it would all be fit > into GP software. > > Cheers, > > Jan >
All these sorts of mods could be built into Promed. All you need is a pythonista. There are basic instructions following which (and copying from other assessment modules) you can produce any module for assessment. You can save stuff back into the database in SQL searchable format. It's not pretty but it's solid. We have one definite instance in which something was cross-linked into wrong patient's file in 3 years of heavy use (30,000 customers). No-one has ever said that information is lost. Nothing is vendor-locked in place. Liz -- RAM wasn't built in a day. _______________________________________________ Gpcg_talk mailing list [email protected] http://ozdocit.org/cgi-bin/mailman/listinfo/gpcg_talk
