RPMS Adverse Reaction Tracking GMRA Clean Up Utility
- Slides: 24
RPMS Adverse Reaction Tracking (GMRA) Clean Up Utility May 2012
Course Objectives At the end of this session, participants should be able to: • Discuss the importance of performing the Allergy Clean Up. • Utilize the Allergy Clean Up utility. • Understand the risks and benefits of “batch” updating reactions.
Why perform clean up? • Previously, users could enter reactions using a variety of files, or by using a “free text” entry not linked to any specific file • These entries may or may not have the correct information to order check • These entries do not have the needed information for data exchange/interoperability
Clean Up Utility • This utility does NOT automatically match any entry to a “better” entry, nor does it suggest better entries. • It is simply a tool for identifying allergies that may be problematic and allows the user to take action on them.
Three Clean Up Options • Free Text – These entries are not tied to any particular file – Sites MUST clean these up as soon as possible • Ingredient – These entries are tied to the DRUG INGREDIENT file (#50. 416) – These will need clean up at some point, but are not as urgent • Drug Class – These files are tied to the VA DRUG CLASS file (#50. 605) – These also require clean up but are not as urgent
Free Text Clean Up • When the user selects a free-text reactant, a list of currently existing free-text entries is displayed in alphabetical order. • This list may take a few minutes to generate, as all existing entries need to be evaluated to determine which are “free text”. • The list shows the name of the reactant, and the number of entries for that reactant.
Free Text Clean Up • When entering the utility, any users who are currently working in the utility are listed. • If users are listed as working with the utility, the next user will not be allowed to update the list. – In other words, only one user can be updating the list at any given time.
1 2 3 4 5 6 Edit Allergy File Enter/Edit Signs/Symptoms Data Enter/Edit Site Parameters Sign/Symptoms List Allergies File List Allergy clean up utility Select Enter/Edit Site Configurable Files Option: 6 Allergy clean up utility Select one of the following: 1 2 3 Free Text Ingredient Drug Class Select the list you wish to work with: 1 Free Text Building list of free text allergies. . . this may take a few minutes
Allergy Tracking Update Apr 26, 2011 10: 33: 16 Page: 1 Allergy Tracking Free Text Entries Reactant # Active Entries 1 AC I/ARB 1 2 ACEI 3 3 ACTIFED 1 4 ADVERSE DRUG REACTION H 202 1 5 AKE: ACI 1 6 ALBUTEROL 22 7 ALENDRONATE 7 8 ALL ANTIBIOTIC UNKNOWN 1 9 ALL DYES 1 10 ALL EYE DROPS 1 11 ALL NSAIDS 1 12 ALL TAPES 1 13 ALLERGIC TO DYE 1 14 AMITRIPTYLINE 24 15 AMLODIPINE 30 16 AMOXICILLIN 700 17 AMPICILLIN 110 + Select one or more entries AE Add/Edit Allergy File EE Mark entered in error DD Detailed Display UR Update to new reactant Select Item(s): Next Screen// of 18
NOTE: If the list had been built previously, the user will see the following alternative text: Select the list you wish to work with: 1 Free Text The free text list was last built on Apr 26, 2011 Do you want to rebuild the list? NO// YES
Free Text Clean Up • Once in the list, the user may select one of the following options: – DD Detailed Display – EE Mark entered in error – UR Update to new reactant
Detailed Display • This allows the user to see all of the entries for that particular reaction • It includes all the reactions tied to each patient with that reactant – Can only ACT on the reaction you are currently working on (look in the top right corner to see which reaction you are on) – Shows as a string of text separated with the tilde (~) • Can choose additional actions from this screen
Detailed Display
Detailed Display • Can choose several options from here: – DD Allergy Detailed Display • Shows a Fileman style listing of the reaction details for the selected patient – UR Update to new reactant • Updates the selected patient’s reaction only – EE Entered in Error • Marks the reaction as “entered-in-error” for the selected patient only – PR Add/Edit Patient Reaction • Allows the user to additional reactions for the selected patient
Detailed Display PATIENT: DEMO, PATIENT MAE REACTANT: ALBUTEROL GMR ALLERGY: OTHER ALLERGY/ADVERSE REACTION ORIGINATION DATE/TIME: JUL 12, 2004@17: 24 ORIGINATOR: WOFFORD-FARRIS, JAMES CLIFTON III OBSERVED/HISTORICAL: HISTORICAL ORIGINATOR SIGN OFF: YES MECHANISM: UNKNOWN VERIFIED: YES VERIFICATION DATE/TIME: JUL 12, 2004@17: 25: 41 VERIFIER: WOFFORD-FARRIS, JAMES CLIFTON III ALLERGY TYPE: DRUG INGREDIENT: ALBUTEROL VA DRUG CLASS: ANTIASTHMA/BRONCHODILATORS DATE/TIME: JUL 12, 2004@17: 27: 02 USER ENTERING: WOFFORD-FARRIS, JAMES CLIFTON III
Update to New Reactant Select Item(s): Next Screen// UR Select Entries from list: 1 You are about to update the selected patient's ALBUTEROL allergy to a new reactant. ARE YOU SURE? NO// YES For patient DEMO, PATIENT MAE Enter Causative Agent: ALBUTEROL Checking GMR ALLERGIES (#120. 82) file for matches. . . Now checking the National Drug File - Generic Names (#50. 6) 1 ALBUTEROL 2 ALBUTEROL/IPRATROPIUM CHOOSE 1 -2: 1 ALBUTEROL You selected ALBUTEROL Is this correct? Y//YES
Entered in Error Select Item(s): Quit// EE Select Entries from list: 1 You are about to mark the selected patient's ACEI allergy as entered in error. ARE YOU SURE? NO// Y (YES)
Add/Edit Patient Reaction • This option can be used to additional reactions for the patient. • This option should be used to add NEW reactions only. • If existing entries are marked as entered in error from within this option it will not update the utility's display until the list is rebuilt upon re-entry of this option. – This could cause confusion as the list will no longer be accurate.
Batch Updating • Entries can be “batch” updated from the main screen • This should be used with caution, especially for entries that have several patient entries tied to it • However, once the details have been reviewed for each patient, this can make the clean up go faster
Allergy Tracking Update Apr 26, 2011 10: 41: 45 Page: 1 of 18 Allergy Tracking Free Text Entries Reactant # Active Entries 1 AC I/ARB 1 2 ACEI 2 3 ACTIFED 1 4 ADVERSE DRUG REACTION H 202 1 <. . . > 14 AMITRIPTYLINE 24 15 AMLODIPINE 30 16 AMOXICILLIN 700 17 AMPICILLIN 110 + Select one or more entries AE Add/Edit Allergy File EE Mark entered in error DD Detailed Display UR Update to new reactant Select Item(s): Next Screen// EE Select Entries from list: 2 You are about to mark ALL allergies with the selected reactant as entered in error. ARE YOU SURE? NO//YES
Allergy Tracking Update Apr 26, 2011 12: 41: 42 Page: 1 of 18 Allergy Tracking Free Text Entries Reactant # Active Entries 1 AC I/ARB 1 2 ACTIFED 1 3 ADVERSE DRUG REACTION H 202 1 4 AKE: ACI 1 5 ALBUTEROL 21 6 ALENDRONATE 7 7 ALL ANTIBIOTIC UNKNOWN 1 <. . . > 17 ANESTHESIA MEDS 1 + Select one or more entries AE Add/Edit Allergy File EE Mark entered in error DD Detailed Display UR Update to new reactant Select Item(s): Next Screen// UR Select Entries from list: 5 You should use the detailed display option to review entries in this group before doing a mass update. CHANGES CANNOT BE UNDONE! Press enter to continue:
You are about to update ALL allergies with the selected reactant to a new reactant. ARE YOU SURE? NO// YES Updating ALBUTEROL reactions For patient DEMO, PATIENT LEE Enter Causative Agent: ALBUTEROL Checking GMR ALLERGIES (#120. 82) file for matches. . . Now checking the National Drug File - Generic Names (#50. 6) 1 ALBUTEROL 2 ALBUTEROL/IPRATROPIUM CHOOSE 1 -2: 1 ALBUTEROL You selected ALBUTEROL Is this correct? Y// ES Performing order checking. . . patient has no active orders. For patient DEMO, PATIENT KEITH Use reactant ALBUTEROL? Y// ES Performing order checking. . . patient has no active orders.
Ingredient and Drug Class • These options work the same as the free text utility • As with Free Text, use the “batch” options with extreme care • Though these are not critical to clean NOW, these will eventually need to be cleaned – It is wise to start on this project as soon as the free text are cleaned up, to avoid a time crunch later
Questions?
- Mini close out gmra
- Adverse reaction definition
- Adr adverse drug reaction
- Adverse reaction definition
- Adverse reaction definition
- Relation between marginal utility and total utility
- Ordinal and cardinal utility
- Clean up everybody let's clean up
- Chemdraw stationery document
- Addition reaction and substitution reaction
- Leukoerythroblastic reaction vs leukemoid reaction
- Half life formula
- Order of reaction
- Adverse yaw
- Novartis adverse event reporting
- Sentinal event
- Beta blocker mechanism of action
- Harley nadler
- Adverse events in hospital
- Tools to help solve adverse selection problems
- Slidetodoc.com
- Adverse yaw
- Adverse event adalah
- Adverse conditions light
- Analgesic mechanism