Difference between revisions of "MEDITECH"

From Jesse's Wiki
Jump to navigation Jump to search
m
m
Line 4: Line 4:




Type "S#" in a patient name field to enter Specimen # instead.


Type "/e" to mark a result for a E report (exclusions)
Type "'''S#'''" in a patient name field to enter Specimen # instead.


Type "/r" to mark a result as 'repeated'
Type "'''/e'''" to mark a result for a E report (exclusions)


Calculations, how to get functions Press F5 then "f " then F9
Type "'''/r'''" to mark a result as 'repeated'
 
Type "/o" to mark as an outlier (for QC, but also for reflexes?)
 
Calculations, how to get functions '''Press F5 then "f " then F9'''


=== Shortcuts/Tricks ===
=== Shortcuts/Tricks ===
Line 292: Line 295:


==== Print Pathology Report Greater Than 90 Days-LIS ANALYST-QCH 35661 ====
==== Print Pathology Report Greater Than 90 Days-LIS ANALYST-QCH 35661 ====
==== Print Specimen Internal-LIS GENERAL-QCH 35441 ====
==== Print Unit Labels-LIS TM-QCH 36273 ====
==== Printing Pathology Reports-LIS GENERAL-QCH 35447 ====
For reports Before 2015
==== Printing Pathology Specimen Labels-LIS PATH-QCH 35837 ====
Process Age Sex Edit Report-LIS ANALYST-QCH 35666
Investigate the impact of DOB and Sex demographics changes on test results
Enter \A beside each result to update the reference ranges and say "Sex Updated" or "Age Updated", or both.
"If any references ranges were changed, do not select any Verify option unless performed by a technologist, and press F12. Only a technologist can verify results whose reference ranges have been changed."
==== Process Specimen Batch-LIS TM-QCH 361799 ====
==== Process Units By Batch-LIS TM-QCH 36173 ====
To a bunch of BBK units you can add/remove markers, change status, print labels, release, add AG tests
==== QA Patient Report-LIS ANALYST-QCH 35671 ====
Schedule for various QA reports for Lab BBK and Micro
==== QC Acceptable and Rejection-LIS CORE-QCH 35333 ====
Canned text like QQC2SD
==== QC Cancel-LIS TM-QCH 36167 ====
==== QC Enter Results Manual-LIS TM-QCH 36158 ====
==== QC Enter Specimen-LIS TM-QCH 36152 ====
==== QC Material-LIS TM-QCH 36144 ====
==== QC Outstanding Specimen Report-LIS TM-QCH 36136 ====
==== QC Printing Editing End of Month Graphs-LIS CORE-QCH 81237 ====
QC Print-LIS TM-QCH 36128
QC Uncancel-LIS TM-QCH 36120
==== Quality Indicators Statistics-LIS ANALYST-QCH 35680 ====
due by the 10th of each month in the SharePoint


==== TM Flowcharts-LIS TM-QCH 106210 ====
==== TM Flowcharts-LIS TM-QCH 106210 ====
issuing products routines
issuing products routines

Revision as of 15:29, 7 April 2022

To Do list:

Meditech 6.1 Laboratory Modules, Application User Manuals


Type "S#" in a patient name field to enter Specimen # instead.

Type "/e" to mark a result for a E report (exclusions)

Type "/r" to mark a result as 'repeated'

Type "/o" to mark as an outlier (for QC, but also for reflexes?)

Calculations, how to get functions Press F5 then "f " then F9

Shortcuts/Tricks

Methods to Identify a Specimen-LIS PATH-QCH 35787

Policies

Cancellation of Referral Specimens-LIS GENERAL-QCH 35375

Tests already sent to TOH but it needs to be canceled (why? examples?) Can't result it in Meditech because this prevents the TOH 'cancellation comments' from resulting. If they've already resulted it then it cannot be canceled (by them, but does the result still transfer and get resulted in Meditech?)

Cancelling or Uncancelling a Pathology Requisition-LIS PATH-QCH 35707

step 8 "Enter reason for cancelling pathology requisition", examples?

Canned Comment and Marker List Updates-LIS ANALYST-QCH 35615

Monthly, update the list that lab staff view in Excel on the T: network drive

Computer Sign on Request 35621

Request form (Username/Sign-on Request Form For Access To Computer System Network)

MIS staff performs the request first, after that the manager informs LIS.

Assign appropriate 'Meditech Access Group' (how?)

DNIT Doctor Copy-LIS ANALYST-QCH 35625

lab staff use DNIT when the doctor on the req isn't 'in the table'. Health records adds it then they contact LIS when it's added... a report is printed and DNIT is replaced by the mnemonic provided by Health Records.

Remove DNIT from Doctor tab and replace with proper mnemonic and repeat for all requisitions.

Step 9. "If eligible specimens have not printed this updated doctor" What is an eligible specimen?

Print Reports, ORD (Ordering Doc), OP (Other Doc)

Submitting Doctor DNIT Distribute to LIS Analyst report is printed daily (by the analyst?), supposed to follow up to make sure a form has been sent to Health Records

Delta Check Settings-LIS CORE-QCH 35315

some (if not all) tests have their checks defined here in the policy. The flag is transmitted to the EMR. Are these all of the defined delta checks?

LIS Daily Weekly Monthly Tasks-LIS ANALYST-QCH 35635

Daily

  1. DNIT reports and forms
  2. Non-physician ordering doctor reports
  3. Doctor Update reports
  4. Patient Age/Sex reports
  5. QA Patient reports
  6. Specimens in COLB status
  7. Orders placed on unmanaged computers
    1. Which computers?
  8. Patient Account in PRE status
  9. Bio Data Notification forms
  10. GENMIC micro specimens (outstanding)
  11. Misdirected lab reports
  12. L to L errors
  13. OLIS errors
  14. Assess, prioritize and track LIS malfunction
  15. Assess, prioritize and track LIS change requests
  16. Investigate L to L interface errors

Monthly

Update Canned Comment and Marker lists

LIS Database Modification Request-LIS ANALYST-QCH 35640

Form is completed by the 'authorized requestor', who is authorized?

Assigned tracking number, (Tracking number in CR... ? what generates the number?

Urgent, Important, Routine (time examples?)

Live production (is there test environment?)

memo to affected staff, if required (how do i know if it's required?)

All forms and and attached forms are filed in the LIS Analyst filing cabinet

Finish request is forwarded to lab manager and lab director for signature

LIS Database Modification Testing Validation-LIS ANALYST-QCH 35645

Modification and Initial Testing

  1. In TEST print current config of all dictionary entries (that will be changed) from the change request
  2. For each entry that will be modified, temporarily change their Active field to N and print their Cross Reference list (if exists, example?). But press Esc to leave the entry Active as Y
  3. Determine how the dictionary entry modifications will affect other entries using their printed Cross Reference list (Calculations will be affected)
  4. Document a work plan and testing checklist if not available (examples, see Appendex 1-7)
  5. Perform database modifications
  6. Perform initial testing using the checklist, which much include:
    1. ordering tests in Lab
    2. verifying collection batches
    3. verifying labels
    4. verification of tests
    5. verifying the reference range
    6. verifying interpretative data
    7. verifying calculations
    8. printing all patient reports (Broadcast, Summary, Final, Specimen)
    9. verifying all affecting management and custom reports
  7. Once testing criteria have passed in TEST, print the updated configuration of all dictionary entries that have been changed
  8. After initial testing is completed all documentation is attached the request form. Sign and date the request and give it back to the user for validation (? in test)


Requesting User Validation in TEST

  1. perform validation using testing checklist provided
  2. Attach all validation print outs to the request
  3. if all passed, sign and date the request, set date for implementation into LIVE / prod, Return the request with documentation to the LIS analyst
  4. Approval to LIVE is based on user assessment of desired outcomes and impacts of modifications
  5. If failed, notify analyst who will then restart modification and initial testing


QA analyst

Review the request and ensure that all impacts of modifications have been considered, all appropriate documentation has been reviewed/revised, all training has been reviewed and received

Live/Production

  1. Confirm date to finish the change in Live once all documentation and training is done
  2. In LIVE print the current configuration of all dictionary entries (that will be affected/changed)
  3. For each dictionary entry that will be modified, temporarily change their Active field to N and print their Cross Reverence list (if it exists), then press Esc to leave the entry Active
  4. Confirm that the dictionary entry modifications will affect other dictionary entries in the same manner that they where in Test
  5. Do the same modification as what was done in Test
  6. Tell the requesting user that the change has been completed


Requesting User Validation in LIVE

in Live, verify that the modifications have the desired outcome

If verification fails, notify the analyst for investigation and correction

If verification passes, sign and date the request and forward to Lab Manager

LIS Issues Escalating-LIS ANALYST-QCH 35651

MIS, Meditech Support Tools website, Meditech Service Request Centre (help line), MIS, Compugen (hardware?)

LIS MIS Location Dictionary Modification-LIS ANALYST-QCH 35656

Adding or changing a location (of what?) impacts multiple dictionaries

Reports

Auto Activity Log Auto Release Crossmatch-LIS TM-QCH 36509

track the automatic release of crossmatched red cell units

Red Cell units are set to auto release 3 days post cross match at 2359H

Coll Date By Patient Summary By Patient-LIS GENERAL-QCH

Despite the name, provides a summary of TEST RESULTS by collection date. use for all labs. path reports only before 2015, now use PowerPath, refer to Error! reference source not found" ??

Hematologists STATS-LIS ANALYST-QCH 35631

provide stats for manager for hematologist's workload, print and put in manager's box. Number of cases, Number of slides


Policies possibly not relevant

Analyzer Batch Desktop-LIS GENERAL-QCH 35366

Lab and BB analyzer batches are closed daily

Antibody Antigen ID Report-LIS TM-QCH 36515

report to print patient antibodies previously ID'd

BBK MANAGEMENT > ANTIGEN-ANTIBODY REPORT

Assign Units-LIS TM-QCH 36512

Bone Bank Inventory and Issuing-LIS TM-QCH 36506

How to enter BB samples into the inventory, Bones

Half of femoral heads are received from TOH to QCH

Change Users Lab Site-LIS GENERAL-QCH 35378

Change 'Lab' Site so that the proper footnote appears when resulting

Documenting Slides Blocks Sent Out-LIS PATH-QCH 35735

Data Section CASE REVIEW, record 'RECEPIENT', 'SENT DATE', 'RETURN DATE', 'REQUESTOR', # blocks, slides, any comments

Create Site Batch-LIS GENERAL-QCH 35393

Create a list of specimens to be shipped to another site for testing. Use for Valley Lab Program and referral labs

Compare STAT batch (TOH only?) vs regular batch

Creating a Pathology Cytology Requisition-LIS CORE-QCH 35310

Before powerpath?

Data Entered in OM to Re-Enter in Pathology-LIS PATH-QCH 35712

before powerpath?

Data Section Types-LIS PATH-QCH 35717

before powerpath?

Data Sections by Access Based Findings Entry Screens-LIS PATH-QCH 35725

before powerpath? if not, then should go under 'shortcuts'. looks like canned texts?

Data Sections-LIS PATH-QCH 35728

as above. Data sections seem to be like canned texts but actually pull data. so, shortcuts to pull data. Possibly also dictation templates?

Edit Specimen Collection Date-LIS GENERAL-QCH 35399

Edited or Corrected Results-LIS CORE-QCH 35320

Editing a Pathology Specimen-LIS PATH-QCH 35738

before powerpath?

Enter Edit Requisition-LIS GENERAL-QCH 35402

Enter Manual Test Results-LIS CORE-QCH 35325

Entering a Corrected Report-LIS PATH-QCH 35743

before powerpath?

Entering a Gross Description on a Surgical Pathology Specimen-LIS PATH-QCH 35748

Entering An Addendum-LIS PATH-QCH 35751

Entering Clinical Information for Cytology and Surgical Pathology Specimens-LIS PATH-QCH 35756

Entering or Transcribing Dictated Pathology Results-LIS PATH-QCH 35760

Entering Referred in Consult Information for a Consult Specimen-LIS PATH-QCH 35764

Entering Specimen Sites for Gyne no-Gyne Cytology and Surgical Pathology Specimens-LIS PATH-QCH 35768

Entering Stains Done By Dynacare-LIS PATH-QCH 35772

Glengarry Patient Registration-LIS GENERAL-QCH 35408

Launching and Navigating to the Pathology Desktop-LIS PATH-QCH 35782

Gyne Cytology to Dynacare-LIS PATH-QCH 35777

Log On Off-LIS GENERAL-QCH 35420

Move Requisition to Another Account-LIS TM-QCH 36360

Printer Designations-LIS GENERAL-QCH 35444

Troubleshooting Log, Cerner Label Printer- LIS GENERAL-QCH 106222

Abridged document posted, see distribution log

Ordering Pathology in Order Management-LIS PATH-QCH 35795

Does not work in Test environment... got up to Step 6.

Outstanding Specimen Report Laboratory-LIS CORE-QCH 35330

Outstanding Specimen Report-LIS TM-QCH 36352

PAP Follow Up Letter-LIS PATH-QCH 35800

lab directory is responsibility for getting this list together?

Pathology Desktop Right Hand Side Buttons-LIS PATH-QCH 35804

Pathology Selection Criteria-LIS PATH-QCH 35808

Pathology Specimen Types-LIS PATH-QCH 35813

Patient Notification Letter Audit-LIS TM-QCH 36344

BBK markers QBBKPN using Edit Units routine and marker QBBKPNDEC when patient is dead (so don't send them a letter)

Patient Registration Kemptville-LIS GENERAL-QCH 35435

KKH is the only site that registers patients normally (no OM)

Patient Transfusion Notification Letter-LIS TM-QCH 36337

what marker is added? (if any) when a letter is printed. LIS Custom report BBK Patient Notification letter

Pool Units-LIS TM-QCH 36327

make a pooled unit, CRYO, OCTAPLEX

BBK UNIT desktop

Print Assignment Label-LIS TM-QCH 36301

Print Clinic Lists-LIS TM-QCH 36290

Print patients scheduled for transfusion, AAA (ARH and QCH)

Print Crossmatch Label-LIS TM-QCH 36282

crossmatch labels are printed for any bbk unit that has been crossmatched. Usually it's automatic.

Print Issue Transfusion Labels-LIS TM-QCH 36264

transfusion labels are usually printed automatically. They are for the patient's records to show that they had a transfusion. All products issued from meditech are presumed transfused.

Print Pathology Report Greater Than 90 Days-LIS ANALYST-QCH 35661

Print Specimen Internal-LIS GENERAL-QCH 35441

Print Unit Labels-LIS TM-QCH 36273

Printing Pathology Reports-LIS GENERAL-QCH 35447

For reports Before 2015

Printing Pathology Specimen Labels-LIS PATH-QCH 35837

Process Age Sex Edit Report-LIS ANALYST-QCH 35666

Investigate the impact of DOB and Sex demographics changes on test results

Enter \A beside each result to update the reference ranges and say "Sex Updated" or "Age Updated", or both.

"If any references ranges were changed, do not select any Verify option unless performed by a technologist, and press F12. Only a technologist can verify results whose reference ranges have been changed."

Process Specimen Batch-LIS TM-QCH 361799

Process Units By Batch-LIS TM-QCH 36173

To a bunch of BBK units you can add/remove markers, change status, print labels, release, add AG tests

QA Patient Report-LIS ANALYST-QCH 35671

Schedule for various QA reports for Lab BBK and Micro

QC Acceptable and Rejection-LIS CORE-QCH 35333

Canned text like QQC2SD

QC Cancel-LIS TM-QCH 36167

QC Enter Results Manual-LIS TM-QCH 36158

QC Enter Specimen-LIS TM-QCH 36152

QC Material-LIS TM-QCH 36144

QC Outstanding Specimen Report-LIS TM-QCH 36136

QC Printing Editing End of Month Graphs-LIS CORE-QCH 81237

QC Print-LIS TM-QCH 36128

QC Uncancel-LIS TM-QCH 36120

Quality Indicators Statistics-LIS ANALYST-QCH 35680

due by the 10th of each month in the SharePoint

TM Flowcharts-LIS TM-QCH 106210

issuing products routines