Knowledge base » Release Notes - EpiSoft/CareZone » 2022/09/14 EpiSoft Release Notes - Clinical
2022/09/14 EpiSoft Release Notes - Clinical
Please contact help@episoft.com.au if you would like any of these features activated in your system if not already, or if you have any other questions.
Changes to the Nursing Assessment form:
Goals of care
A new Goals of Care free text box has been added to the nursing assessment as well as a tickbox to copy from previous. See screenshot below.
As some sites wanted this to be a mandatory field as it was identified as a gap by accreditors, you will first need to go to the Organisation Preferences page under System Administration to make this field appear. If you do turn this field on, it will be mandatory.
Better visibility of Deteriorating Patient online guidance for nurses.
We have included a number of changes to support this including:
1) change of icons at the top of the observations linking to the Deteriorating patient criteria and the Observations Graph to links with words as some staff were not aware of these icon-based hyperlinks previously
2) change to graph page to move the composite graph to the bottom as most staff found this unhelpful and including 'call-out' boxes next to each graph to provide the Deteriorating Patient ranges
3) Previous enhancements to the observation recording also shows changes of colour of entered text in line with the observations meeting escalation criteria. We believe these enhancements provide sufficient visual cues for deteriorating patient but welcome feedback from users.
Changes to Toxicity Items in Visit Record
Some of the toxicities related to blood results had the wording of 'no symptoms' which has been corrected to show 'within normal range'.
We have change the order of Toxicities to include the Haematological Toxicities at the top (up to serum creatinine) followed by others in alphabetical order.
We have added a missing Grade 1 radio button option for Infusion site extravasation
Comorbidity questions expanded
Nursing Assessment records a short list of important comorbidities - when selecting cardiovascular previously, there was a textbox for additional info for this condition however there were no textboxes for the other comorbidities. We have now added additional textboxes for each of the comorbidities that can be ticked with the other textbox still present for other comorbidities not listed. See screenshot below.
Changes to access attempts section in nursing assessment
Previously catheter insertion for intravesical access was not tracked for access attempts. This is now able to be done.
Principal Treating Nurse
A new field is included as a drop-down for users to record the primary treating nurse - that is the nurse most responsible for the patient's care in that treatment day.
This will default to the logged in user if nothing is set so please remember to change if the logged in user is not the primary treating nurse.
Setting of the default to save users more data entry in this form but if you do wish to make use of this field, please ensure you check it for accuracy as the patient completes their treatment. This new field displays at the top of the Initial assessment section.
MIMS Prescriber Information
MIMS lookup had a problem linking Prescriber Information sheet - this has been resolved. Only brand name medications have this data linked.
Protocol Cycles copying part of the cycle only
We traced this error from the known two instances of where this occurred to a small number of protocols where the protocol definition did not have a medication display order set. In addition to amending the data in the protocol definition medication in Live to prevent recurrence after identifying the issue, we are also now releasing a software change whereby, when assigning a protocol to a patient, the system will perform a secondary check on medication order of display to make sure there is an order set. This should prevent the issue of partial cycle copies occurring even if there are problems in the protocol definition in this regard.
Appointment/Visit Date included in Defer/Omit/Cease drop-down
If an admin staff member is deferring or omitting treatment on a doctor's behalf, they may have only been provided with the appointment date - this date is now added to the defer/omit/cease drop-down list in the visit record so staff can more safely select the right option to defer/omit/cease.
Visit Record - Defer / omit / cease
The cease option dropdown list of protocols did not include the cycle start date. This has now been included to make it consistent with defer and omit and to help with selection of the right cycle. This will show the first appointment date in the cycle which is generally the same as the cycle start date but on protocols with (e.g. Day before Day 1 Medication) the cycle start date will be one day earlier than the date in the visit record cease. Please see screenshot above for how the cycle start date will be displayed when ceasing treatments.
Prescribed protocol by patient report
The protocol identifier field was searching on a partial match of protocol ID e.g. search on protocol identifier 371 was also returning protocols with identifier 3371 or 2371. The search by protocol identifier has been changed to an exact match on this field so it will return only identifiers matching the entered data.
This does mean that where protocols may have had previous eviQ convention of leading zeroes e.g. 000128, more recent versions without the leading zeroes would need to be searched separately if the protocol identifier is used in the search.
Toxicity Details Report
There was a bug on this page where a single day's date range was erroneously raising a date range error for missing end date. This has been resolved.
Issue with Time stamp on Encounter Summary
An issue was identified on one of EpiSoft's customer Encounter Summary reports, where the date and time stamp being set as the date/time registered in the EpiSoft server, and not the date/time of the end-user's location who saved the data in the system. This issues has now been resolved. This change has only been applied to the custom version of the Encounter Summary, which is used by the customer who raised the issue. We are unable to apply this same fix to the common encounter Summary report; as the common report is being exported to some hosptial EMRs as an after-hours process, and applying a time-zone offset will impact the after hours process so the common report continues to display the serve time for which the data was saved.
Changes to the Nursing Assessment form:
Goals of care
A new Goals of Care free text box has been added to the nursing assessment as well as a tickbox to copy from previous. See screenshot below.
As some sites wanted this to be a mandatory field as it was identified as a gap by accreditors, you will first need to go to the Organisation Preferences page under System Administration to make this field appear. If you do turn this field on, it will be mandatory.
Better visibility of Deteriorating Patient online guidance for nurses.
We have included a number of changes to support this including:
1) change of icons at the top of the observations linking to the Deteriorating patient criteria and the Observations Graph to links with words as some staff were not aware of these icon-based hyperlinks previously
2) change to graph page to move the composite graph to the bottom as most staff found this unhelpful and including 'call-out' boxes next to each graph to provide the Deteriorating Patient ranges
3) Previous enhancements to the observation recording also shows changes of colour of entered text in line with the observations meeting escalation criteria. We believe these enhancements provide sufficient visual cues for deteriorating patient but welcome feedback from users.
Changes to Toxicity Items in Visit Record
Some of the toxicities related to blood results had the wording of 'no symptoms' which has been corrected to show 'within normal range'.
We have change the order of Toxicities to include the Haematological Toxicities at the top (up to serum creatinine) followed by others in alphabetical order.
We have added a missing Grade 1 radio button option for Infusion site extravasation
Comorbidity questions expanded
Nursing Assessment records a short list of important comorbidities - when selecting cardiovascular previously, there was a textbox for additional info for this condition however there were no textboxes for the other comorbidities. We have now added additional textboxes for each of the comorbidities that can be ticked with the other textbox still present for other comorbidities not listed. See screenshot below.
Changes to access attempts section in nursing assessment
Previously catheter insertion for intravesical access was not tracked for access attempts. This is now able to be done.
Principal Treating Nurse
A new field is included as a drop-down for users to record the primary treating nurse - that is the nurse most responsible for the patient's care in that treatment day.
This will default to the logged in user if nothing is set so please remember to change if the logged in user is not the primary treating nurse.
Setting of the default to save users more data entry in this form but if you do wish to make use of this field, please ensure you check it for accuracy as the patient completes their treatment. This new field displays at the top of the Initial assessment section.
MIMS Prescriber Information
MIMS lookup had a problem linking Prescriber Information sheet - this has been resolved. Only brand name medications have this data linked.
Protocol Cycles copying part of the cycle only
We traced this error from the known two instances of where this occurred to a small number of protocols where the protocol definition did not have a medication display order set. In addition to amending the data in the protocol definition medication in Live to prevent recurrence after identifying the issue, we are also now releasing a software change whereby, when assigning a protocol to a patient, the system will perform a secondary check on medication order of display to make sure there is an order set. This should prevent the issue of partial cycle copies occurring even if there are problems in the protocol definition in this regard.
Appointment/Visit Date included in Defer/Omit/Cease drop-down
If an admin staff member is deferring or omitting treatment on a doctor's behalf, they may have only been provided with the appointment date - this date is now added to the defer/omit/cease drop-down list in the visit record so staff can more safely select the right option to defer/omit/cease.
Visit Record - Defer / omit / cease
The cease option dropdown list of protocols did not include the cycle start date. This has now been included to make it consistent with defer and omit and to help with selection of the right cycle. This will show the first appointment date in the cycle which is generally the same as the cycle start date but on protocols with (e.g. Day before Day 1 Medication) the cycle start date will be one day earlier than the date in the visit record cease. Please see screenshot above for how the cycle start date will be displayed when ceasing treatments.
Prescribed protocol by patient report
The protocol identifier field was searching on a partial match of protocol ID e.g. search on protocol identifier 371 was also returning protocols with identifier 3371 or 2371. The search by protocol identifier has been changed to an exact match on this field so it will return only identifiers matching the entered data.
This does mean that where protocols may have had previous eviQ convention of leading zeroes e.g. 000128, more recent versions without the leading zeroes would need to be searched separately if the protocol identifier is used in the search.
Toxicity Details Report
There was a bug on this page where a single day's date range was erroneously raising a date range error for missing end date. This has been resolved.
Issue with Time stamp on Encounter Summary
An issue was identified on one of EpiSoft's customer Encounter Summary reports, where the date and time stamp being set as the date/time registered in the EpiSoft server, and not the date/time of the end-user's location who saved the data in the system. This issues has now been resolved. This change has only been applied to the custom version of the Encounter Summary, which is used by the customer who raised the issue. We are unable to apply this same fix to the common encounter Summary report; as the common report is being exported to some hosptial EMRs as an after-hours process, and applying a time-zone offset will impact the after hours process so the common report continues to display the serve time for which the data was saved.
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