All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ======================================
Our Shift assessments are group assessments. For each system (neuro, resp....) on the first query I have a Within DEFINED Limits query. On this query I have entered the defined limits in the query descriptor. This then prints to the discharge summary. -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of T GRAY Sent: Saturday, May 13, 2006 4:27 PM To: [EMAIL PROTECTED]; [EMAIL PROTECTED]; [email protected] Subject: RE: [MEDITECH-L] Charting by exception (Using Standards) All messages should be posted in plain text. HTML will be converted to attachments. The meditech-l web site is MTUsers.com ====================================== Or you could define your WNL statement on your CDS by using label queries. I have done this and presented it to several legal, risk management folks and have received approval on all. >From: "Brian Golden" <[EMAIL PROTECTED]> >To: "Debbie Lajoie" <[EMAIL PROTECTED]>, ><[email protected]> >Subject: RE: [MEDITECH-L] Charting by exception (Using Standards) >Date: Thu, 11 May 2006 15:21:11 -0500 > >All messages should be posted in plain text. HTML will be converted to >attachments. The meditech-l web site is MTUsers.com >====================================== > >Deb, > >I would suggest being careful with "charting by exception". It leaves >the fields blank if not answered. You can't distinguish whether a >blank means not applicable or they just didn't do it. Then, when >someone asks how long the patient had... or how many patients had this >response, you can't use the computer to do what it does best. > >There are ways to deal with it. For example, if the question "WNL" is >responded to with a "Y", then use attributes to default in "N" to all >of the other questions. > >Just think ahead for what information someone might ask you for later. > >Brian > >-----Original Message----- >From: [EMAIL PROTECTED] >[mailto:[EMAIL PROTECTED] On Behalf Of Debbie Lajoie >Sent: Wednesday, May 10, 2006 9:10 AM >To: [email protected] >Subject: [MEDITECH-L] Charting by exception (Using Standards) > > >All messages should be posted in plain text. HTML will be converted to >attachments. The meditech-l web site is MTUsers.com >====================================== > >I am in the process of redesigning our Nursing Documentation System. We >are a Magic site utilizing the NUR module since the early 90's. We >currently use CDS's with attributes. Our plan is to move towards >charting by exception based on standards. Does anyone currently >document by exception and if so, what references did you utilize to >define standards for the documentation? Any assistance will be greatly >appreciated. > >Thanks! >Deb > >Debbie Lajoie RN >Information Systems >Application Analyst >Holyoke Medical Center >Phone #: (413) 534-2841 >Pager: 755-8448 >[EMAIL PROTECTED] > > >CONFIDENTIALITY NOTICE: This email communication and any attachments >may contain confidential and privileged information for the use of the >designated recipients named above. If you are not the intended >recipient, you are hereby notified that you have received this >communication in error and that any review, disclosure, dissemination, >distribution or copying of it or its contents is prohibited. If you >have received this communication in error, please reply to the sender >immediately or by telephone at (413)534-2500 and destroy all copies of >this communication and any attachments. For further information >regarding Holyoke Medical Center's privacy policy, Please visit our >Internet web site at http://www.holyokehealth.com <<<<GWAVAsig>>>> > >_______________________________________________ >meditech-l mailing list >[email protected] http://mtusers.com/mailman/listinfo/meditech-l > >_______________________________________________ >meditech-l mailing list >[email protected] >http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
