CRITICAL RESULTS REPORTING

Updated July 13, 2011

 

Tool bar on the reporting window:

 

Select the Alert level.  You will see a new section added to the report.

 

Once you have spoken with the provider, check 

 

The Requesting provider will default into your dictation.  If any of this information needs to be changed, you can change this on the report window.  This is the simplest way to do this.

 

CRITICAL ALERT COLORS

1. The colors are standard, but the timelines and language will probably be adjusted.
2. Red - Therapeutic intervention or additional diagnostics should be performed soon to avoid patient harm.  Respond within 1 hour.
3. Orange - Provider attention to this finding today or tomorrow or care may be compromised.  Respond within 12 hours.
4. Yellow - Provider attention to this finding in the next several days for optimal care.  Respond within 2 days.

 

 

How can I see what alerts have not been communicated?

1.       A public worklist called “Critical Alerts Pending Action” and one called “Critical Alerts All” can be used to view alerts  “Assigned to Me/Unassigned”.

2.       Private worklists can also be created, using the new options in the “advanced” section of the worklist editor.

3.       Providers should put these worklists on their Home page.

 

 

Will the alert affect my outbound result or be seen in Epic, Orca or Mind?

1.       Not yet, but that is coming.  You will see the inserted messages in the diagnostic report.

2.       In the future, your result will be displayed differently in the EMRs if a critical alert is set by you.  We don’t have detail on this yet.

 

 

How long do I have to communicate the alert and what happens if I don’t do it in time.

1.       Red = 1 hour, Orange = 24 hours and Yellow = 48 hours

2.       If you miss the timeline, it is noted in the audit log as a late communication.

3.       On any worklist that shows critical alert exams, you can see how much time is remaining on the deadline by hovering over the telephone icon.

 

 

Can I turn an alert off?  How do I do that?

1.       Yes.  Click “none” or delete the “Critical Results” section on the report.

 

 

On the Clinical Info Summary and the Report tab in RIS, you can see the referring provider’s phone and pager numbers, and the email address by clicking the little blue triangles next to their names.