Patient Safety Initiative - Case Review System

Review a Case - Service Administrator

Once you select a case, a new screen with a summary of the case and spaces for you to enter your decision about referring the case for review to a colleague for review will be presented.

The screen consists of five sections which are separated by headings that appear as horizontal blue bars. Two of the sections are hidden – View Case Details and View Case History. Click on a blue bar to reveal the information within the section. Click again to hide the section.

After you finish entering your review decision you must click on the “Submit” button at the bottom of the screen. If you are not ready to submit your decision, click on the “Save” button at the bottom of the screen so that you do not lose the information you entered.

Patient Information

Patient information is displayed in its entirety and consists of patient identification and demographic data, admission and discharge dates, discharge disposition and attending physician.

This section also includes an indicator (PSRS Match) of whether a patient safety event was previously reported in the voluntary Patient Safety Reporting System (PSRS) for this patient. A value of “Y” for this indicator means that an event was previously reported in PSRS, but may not be the same event as the one summarized on this screen.

Hospitalization Details

This section identifies the event that is the subject of this case review (e.g., Pulmonary Embolism or Deep Vein Thrombosis) and displays the patient’s admit and discharge services and all the services and nursing units on which the patient resided during his/her hospitalization.

View Case Details

This section displays the patient’s principal and secondary diagnoses and principal and secondary procedures. Each diagnosis has a “Present on Admission” (PoA) indicator of whether the diagnosis was present on admission (pre-existing) (PoA = Y) or acquired during the patient’s hospitalization (PoA = N). A For some diagnoses, like “Normal Delivery” , it is not meaningful to assign a PoA value; under these circumstances, the diagnosis is exempt (PoA value o = f E ). identify diagnoses.

The diagnosis that caused the event to be flagged for review is highlighted. These are diagnoses that were acquired (PoA = N ) .

View Case History

This section displays the decision you make for this case and all prior reviews and associated comments

Enter and Submit Case Review Findings

This section provides space for you to enter your decision about referring the case to a primary reviewer in your department or

After you review the summary of the case and the patient’s CareWeb and other records:

1. Enter your findings in the text box. Also enter any instructions or guidance you wish to communicate to the Primary Reviewer or System Administrator.

2. Enter your review decision.

Assign Case to a Primary Reviewer: Use the drop down list to assign the case to yourself or another Primary Reviewer in your service. Again, document any instructions to the Primary Reviewer in the Findings section, select Review Decision 1 and press the Submit button at the bottom of the page to forward the case to the selected reviewer.

Reassign Case to Another Clinical Service / Dept.: If you determined the case has been mis-assigned to your service, provide explanation in the Findings section, select Review Decision 2, and press the Submit button to send case to the System Administrator for rerouting.

3. Finally, submit your review decision by clicking the “Submit” button at the bottom of the screen. (If you are not ready to submit your decision, click on the “Save” button at the bottom of the screen so that you do not lose the information you entered)

4. If you assigned the case to yourself, return to the Worklist of unreviewed cases and click on “Review” to begin your investigation.

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