EM#'auIt v2010 improved our patient's case #eal Life CIinicaI case Scenario. Rs. Smith was diagnosed with swollen lymph nodes in her chest, bdomen and pelvic area. She was sent to the e# for a thoracacentesis on both luns. The nephroloist ordered a CT scan and oxyen was administered.
EM#'auIt v2010 improved our patient's case #eal Life CIinicaI case Scenario. Rs. Smith was diagnosed with swollen lymph nodes in her chest, bdomen and pelvic area. She was sent to the e# for a thoracacentesis on both luns. The nephroloist ordered a CT scan and oxyen was administered.
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EM#'auIt v2010 improved our patient's case #eal Life CIinicaI case Scenario. Rs. Smith was diagnosed with swollen lymph nodes in her chest, bdomen and pelvic area. She was sent to the e# for a thoracacentesis on both luns. The nephroloist ordered a CT scan and oxyen was administered.
Copyright:
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Download as PPT, PDF, TXT or read online from Scribd
loenr|f,|ng rhe oause of o,spnea ano eoema |n a 71 ,r o|o woman MMI 402 (David Liebovitz, MD) Northwestern University, FaII 2009 AIicia Barco, Connie Egerer, DougIas Kunz, Kerry Heinecke ovember 30, 2009 enda #eaI Life CIinicaI Case Scenario The EM#'auIt v2010 Scenario Key features of EM#'auIt v2010 How EM#'auIt v2010 improved our Patient's case #eal Life Case History (names chaned) Lab #esults B! = 71 (rules out heart failure) Hemolobin = 9.8 Creatinine = 1.6 Liver tests were borderline hih !rotein/albumin were low (possibly indicatin malnutrition) !otassium results not back yet Ferritin = normal Chest xray showed fluid in the luns (the physician thouht it could be low protein in blood which makes water seep into tissue. He notes that #heumatoid rthritis can cause low protein.) O2 sats = 98% TSH 4.17 (normal thyroid test) rs. Smith is Sent Home edicare would not pay for further hospitalization Shortness of breath and swellin persisted Continue lasix See family physician Follow up appointment with nephroloist rs. Smith is sent back to the E# Follow up visit with nephroloist ephroloist listens to her luns rs. Smith sent immediately to the E# Oxyen administered Thoracentesis on both luns ore normal test results Kidney Heart Liver ianosis eck to hip CT Scan dentified swollen lymph nodes Chest bdomen !elvic area (lymph nodes compressin bladder) !reliminary dianosis Lymphoma Biopsy confirms follicular non-Hodkins lymphoma Chemotherapy successful ata sent throuh #HO exchane rs. Smith is ischared Follow-up actions performed as dischare preparation: 1. ssessment of post-dischare care available at home (family careivers). 2. Education iven to patient and family on medications manaement 3. ppointment booked with family physician 4. ischare summary transmitted from hospital's inpatient E# to family physician. 5. Schedule follow up calls and arrane patient monitorin 6. !repared patient dischare instructions and information to ive to patient and family. ischare !lan DiscIaimer: The picture beIow is a Spirometer ActuaI Dyspnea monitor not deveIoped yet. !atient dischare instructions/information: 1. edication list to printout for patient with instructions 2. "#ed flas when to call provider (e.., increased difficulty breathin); dyspnea monitor device was iven to patient (sends alert messae to doctor) 3. Family appointment reminder printout 4. #eview of schedule for follow up calls and patient monitorin Follow-up catches worsenin condition Worsenin dyspnea and edema and development of orthopnea and abdominal swellin are quickly noted by the nurse practitioner rs. Smith's appointment with her family physician is moved up The family physician, equipped with full history, reconizes the need to re-admit her to the hospital nd the happy resolution is achieved more quickly and smoothly Key Features of E#'ault v2010 !hysician Task and Workflow Orientation L! capable Clinical notes, C!T codin !roblem list (SOE CT, C 9/10) edication anaement (allery list) mae anaement Lab anaement Clinical ecision Support Health aintenance anaement (alerts/reminders, vital sins) C!OE Calendars, Task lists Key Features of E#'ault v2010 (continued.) Communication with external Systems External E#s via #HO !harmacy Lab 'oice activated data collection devices #emote patient monitorin devices Critical workflow handlin by the system (alerts/notifications sent throuh SS pain and instantaneously displayed in E# system) ! interation to other systems such as ifferential ianosis (x!lain) Clinical ecision Support Clinical !rediction #ules (edCalc3000) !CS How E#'ault v2010 improved rs. Smith's care Smooth communication between providers Between the different physician offices Within the hospital Eliminatin redundant testin #educed delays in dianosis Clinical ecision Support E# recommended tests Supported Follow up care after release from the hospital Faster reconition of worsenin condition Closer patient contact made patient feel cared for "uestions? Group 3 members orthwestern University, Fall2009 licia Barco, Connie Eerer, oulas Kunz, Kerry Heinecke %,nk you for your ,ttention %e slides will be posted in our Cl,ssroom Discussion Bo,rd We enjoyed tis cl,ss. %,nk you Dr. D,;id Liebo;itz