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Was steht in den Sternen? Was verrät Ihr persönliches Horoskop? Mit diesem kostenlosen Angebot verpassen Sie nie wieder etwas. We are working on the creation of a keystroke combination that will cue up a new dictation for the same location and work type i.

How to pause and resume The system is set to timeout after 1 minute of silence. This timeframe is as long as we can make it. To pause a dictation, press 4.

To resume a dictation, press 2. Until this week, those preliminary summaries were not immediately available in the electronic record.

We have made a change to the system so those documents will be available immediately after transcription. If you dictate a preliminary discharge summary when the date of discharge is still uncertain, you will need to manually modify that document with the actual discharge date when known.

If you have questions regarding the process for using the dictation system, please contact Medical Information Management at Please resume normal processes for order entry and documentation.

Please note that some results may be delayed in posting over the next hour as system interfaces resume to normal activity.

We apologize again for the inconvenience. The provider update is available by Clicking Here Summary of the changes: The provider update is available by Clicking Here If you provide care in the inpatient setting, please take a moment to read the attached update regarding a series of changes to HERO.

These changes will be implemented starting next Tuesday, May Some of the changes will impact powerplans and will thus require those users with personal powerplan favorites to re-save their favorite powerplans if impacted.

Because of the impact on favorites, we try to make changes to powerplans infrequently, but do need to keep them current with best practice and policy.

Summary of the changes: The link can be found on the navigation area to the left. These guidelines can be reviewed in their entirety in CHEST for those of you who wish to review the entire guideline.

Excela Health has been working for several years to improve the VTE protection provided to our patients. The use of pre-printed order sets and the use of a comprehensive power plan in Cerner has aided the physicians in following the most evidence based guidelines for VTE prophylaxis for our inpatients.

As the guidelines have recently been modified, this monograph will highlight the newest changes and recommendations and provide examples of changes to the pre-printed order sets and the Cerner power plan.

The clinical recommendations are designed to consider the balance of benefit and harm that result in the decision to provide VTE prophylaxis to our inpatients.

The guidelines acknowledge that not all patients require VTE prophylaxis and suggest a risk stratification methodology The Padua Prediction Risk Score to determine those patients at highest risk.

The guidelines address the critically ill however they are not necessarily part of the formal Padua Scoring System.

We have modified our score to assure those in critical care areas automatically fall into the high risk category for efficiency and ease in ordering prophylaxis.

Patients are considered low risk for VTE if their risk stratification score is 3 or less. Point 3 As stated above, regardless of risk score, critically ill patients those in the ICU or deemed critically ill clinically should receive prophylaxis.

For critically ill patients who are bleeding, or at high risk for major bleeding mechanical thromboprophylaxis is recommended until a time when pharmacologic agents can be safely initiated.

For high risk patients who are bleeding, or at high risk for major bleeding mechanical thromboprophylaxis is recommended until a time when pharmacologic agents can be safely initiated.

Attached you will find a copy of the Excela pre-printed order sheets designed to take you through the risk stratification process for VTE and provide you with the ordering choices for appropriate evidence based VTE prophylaxis.

In addition, you will find copies of the screens in Cerner dedicated to VTE prophylaxis. While the common items for other subspecialties may not be represented in this content, we can add additional options in the future if the content is available.

The nursing staff will begin to use these on Monday, November We hope that use of these PowerPlans will assist with timeliness of order entry and with accuracy of entry as most of the options in these sets are pre-configured to minimize manual data entry.

Direct entry by the provider has advantages in minimizing the risk of transcription error and in getting all orders complete with one step.

Thank you for your support of this new initiative. Please feel free to contact me with any questions. Training for providers begins in January.

Please see the attached original invitation and training schedules. Performing a TIME OUT prior to all operative and invasive procedures is the policy of Excela Health and has proven to prevent wrong site, side, and patient procedures nationally.

TIME OUT is required immediately prior to all non-emergent operative and invasive procedures done in any location including at the bedside.

During a recent Joint Commission Survey at Frick Hospital, it was identified by the survey team that a bedside thoracentesis was performed by a physician without the required TIME OUT including site marking being performed.

This is an unacceptable and risky practice. If you have any questions, please contact Denise Addis, Director Accreditation and Regulation at or daddis excelahealth.

Thank you for your continued support and commitment to patient safety. The PPEC is a new multi-specialty committee and the foundation of the new process.

The PPEC's sole function is to use its expertise to help colleagues on the Medical Staff improve their clinical practice. When concerns are identified in a practitioner's clinical practice, the PPEC may develop an individual performance improvement plan to address those concerns.

Below is a link to an information sheet and detailed process flow chart. Reporting of Suspected Transfusion-Associated Infections posted: This improved safety of the blood supply, including the decreased risk of transfusion transmitted infections such as HIV and viral hepatitis, has been accomplished by improvements in donor selection and testing procedures.

The risk for Hepatitis C transmission through a blood transfusion has been decreased to an estimated 1 in 1,, transfusions, The improved testing NAT closes the window period for not detecting an infected donor to an approximate period of one week.

The risk for Hepatitis B transmission to has been reduced to between 1 in , to 1,, The improved NAT testing has closed the window period for not detecting an infected donor to an approximate period of 3 to 4 weeks.

NAT testing has closed the window period for not detecting an infected donor to an approximate period of 7 to 10 days.

Physicians are reminded to still consider the possibility of post-transfusion-related infections in the follow-up examinations of recently transfused patients.

Suspected cases must be reported by the physician to either an Excela Health Blood Bank or Infection Control Department so that involved donors can be investigated.

HERO provider update for September posted: HERO provider update for July posted: HERO provider update for May posted: New Policy for plasma transfusion posted: All Excela Health Practitioners ordering blood products From: New Policy for plasma transfusion.

Recent best practice is to generally exclude plasma donated from females who have been pregnant, to mitigate risk of transfusion related acute lung injury TRALI.

Ohne Fleisch ernährte Kinder brauchen unter Umständen Vitaminpillen. So vermeiden Sie Befall - und das müssen Sie tun, wenn es doch passiert ist.

Nur bis zum Das Bonusprogramm mit dem Sie bei über Partnern bares Geld sparen! Ärzte haben in Australien erfolgreich siamesische Zwillinge getrennt.

Nach Abbruch von enormer Eisplatte: Forscher auf dem Weg in die Antarktis. Forscher finden neue Hinweise auf Ursprung des kühlen Nass auf der Erde.

Was wie eine Zukunftsvision klingt, ist für Entwickler nur eine Frage der Zeit. Golfstrom treibt Massen an Plastik in Richtung Europa.

Nicht nur die Bienen sind betroffen. Auch andere Tiere verschwinden. Wie Medikamente aus Abwässern in unsere Nahrungskette gelangen. Erster Start für geplant: Antrieb für US-Raumschiff "Orion" ausgeliefert.

Im Jemen stirbt alle zehn Minuten ein Kind. Diese Lebensmittel unterstützen das Immunsystem im Kampf gegen Viren. Dieses Museum serviert Suppe mit Schafsaugen und gekochte Fledermaus.

Fotos aus ihrem Malediven-Urlaub bringen ihr Bewunderung der Fans ein. Paar räumt mit manchem Gerücht zur Meghan-und-Harry-Hochzeit auf.

Diese Kalender sind schnell gemacht - und etwas ganz besonderes. Mit dieser Deko kommen Sie garantiert in Weihnachtsstimmung!

Die schönsten Sankt-Martins-Laternen zum selber basteln. Juhu, das Baby ist da! Die besten Geschenkideen für Mutter und Kind.

Organisation muss gekonnt sein, mit diesen kleinen Helfern klappts. Mit diesen Büchern kommen Sie gut durch die dunkle Jahreszeit.

Von Wandern bis Wellness: Ideen für Freizeitaktivitäten im November! Wie Sie aus wenig Platz in Ihrer Wohnung viel herausholen können.

So machen Sie alte Scheinwerfer für die dunkle Jahreszeit fit. Ist das die Zukunft? Kleinbus kommt völlig ohne menschlichen Fahrer aus.

Wie Sie sich bei einem Auto-Unfall im Ausland richtig verhalten. Bericht des Verbands enthüllt Durchfallquote von fast 20 Prozent.

Wir klären auf, für wen sich Allwetterreifen lohnen. Toyota ruft über eine Million Fahrzeuge weltweit zurück. DE immer bestens informiert.

Deutsche vertrauen US-Internetfirmen nicht mehr. DE-News jetzt in der Mail-App. Gesundheitsversorgung und Schule in Tshikaji. Der gewaltsame Konflikt im Kongo hat tiefe Wunden gerissen.

Ein Monat nach dem verheerenden Erdbeben und Tsunami. Weltweite Überlebenschancen in Afrika und Asien am schlechtesten.

Über Millionen Menschen haben weltweit nicht genug zu essen. Nachrichten sind langweilig und dröge? Es kommt auf den Blickwinkel an.

In den Cartoons von Martin Perscheid tun sich Abgründe auf. Chad Carpenters Comics zeigen die Wildnis von ihrer komischen Seite.

Cartoons des dänischen Künstler-Duos Wulff und Morgenthaler. Der Cartoonist erweckt wilde Wortspiel-Tiere zum Leben.

Vorhersagen und Warnungen zu Schneefall und Unwettern. Was steht in den Sternen? Was verrät Ihr persönliches Horoskop? Mit diesem kostenlosen Angebot verpassen Sie nie wieder etwas.

Diese einfachen Mittel helfen bei Erkältung, Ohrenschmerzen und Co. Also, we have established a special command center number for this implementation: Thank you for your attention to this important information.

This will affect your password for the following applications: The HERO Mobile website is not available at this time due to issues related to the system upgrade early this morning.

The team is working to re-establish access. We will post an update when the system is available. We are almost 6 months into the transition to our new dictation system and seeing great results in terms of document turnaround times and overall accuracy.

Thank you for your patience and cooperation with the transition. On behalf of the Medical Information Management department, I wanted to share a few tips for use of the Nuance Dictation system.

How to move to a new dictation without hanging up At the completion of your dictation, press 5 to start a new dictation. You will be prompted for location and work type, but you will not need to re-enter your provider number.

We are working on the creation of a keystroke combination that will cue up a new dictation for the same location and work type i.

How to pause and resume The system is set to timeout after 1 minute of silence. This timeframe is as long as we can make it. To pause a dictation, press 4.

To resume a dictation, press 2. Until this week, those preliminary summaries were not immediately available in the electronic record.

We have made a change to the system so those documents will be available immediately after transcription. If you dictate a preliminary discharge summary when the date of discharge is still uncertain, you will need to manually modify that document with the actual discharge date when known.

If you have questions regarding the process for using the dictation system, please contact Medical Information Management at Please resume normal processes for order entry and documentation.

Please note that some results may be delayed in posting over the next hour as system interfaces resume to normal activity. We apologize again for the inconvenience.

The provider update is available by Clicking Here Summary of the changes: The provider update is available by Clicking Here If you provide care in the inpatient setting, please take a moment to read the attached update regarding a series of changes to HERO.

These changes will be implemented starting next Tuesday, May Some of the changes will impact powerplans and will thus require those users with personal powerplan favorites to re-save their favorite powerplans if impacted.

Because of the impact on favorites, we try to make changes to powerplans infrequently, but do need to keep them current with best practice and policy.

Summary of the changes: The link can be found on the navigation area to the left. These guidelines can be reviewed in their entirety in CHEST for those of you who wish to review the entire guideline.

Excela Health has been working for several years to improve the VTE protection provided to our patients.

The use of pre-printed order sets and the use of a comprehensive power plan in Cerner has aided the physicians in following the most evidence based guidelines for VTE prophylaxis for our inpatients.

As the guidelines have recently been modified, this monograph will highlight the newest changes and recommendations and provide examples of changes to the pre-printed order sets and the Cerner power plan.

The clinical recommendations are designed to consider the balance of benefit and harm that result in the decision to provide VTE prophylaxis to our inpatients.

The guidelines acknowledge that not all patients require VTE prophylaxis and suggest a risk stratification methodology The Padua Prediction Risk Score to determine those patients at highest risk.

The guidelines address the critically ill however they are not necessarily part of the formal Padua Scoring System. We have modified our score to assure those in critical care areas automatically fall into the high risk category for efficiency and ease in ordering prophylaxis.

Patients are considered low risk for VTE if their risk stratification score is 3 or less. Point 3 As stated above, regardless of risk score, critically ill patients those in the ICU or deemed critically ill clinically should receive prophylaxis.

For critically ill patients who are bleeding, or at high risk for major bleeding mechanical thromboprophylaxis is recommended until a time when pharmacologic agents can be safely initiated.

For high risk patients who are bleeding, or at high risk for major bleeding mechanical thromboprophylaxis is recommended until a time when pharmacologic agents can be safely initiated.

Attached you will find a copy of the Excela pre-printed order sheets designed to take you through the risk stratification process for VTE and provide you with the ordering choices for appropriate evidence based VTE prophylaxis.

In addition, you will find copies of the screens in Cerner dedicated to VTE prophylaxis. While the common items for other subspecialties may not be represented in this content, we can add additional options in the future if the content is available.

The nursing staff will begin to use these on Monday, November We hope that use of these PowerPlans will assist with timeliness of order entry and with accuracy of entry as most of the options in these sets are pre-configured to minimize manual data entry.

Direct entry by the provider has advantages in minimizing the risk of transcription error and in getting all orders complete with one step.

Thank you for your support of this new initiative. Please feel free to contact me with any questions.

Training for providers begins in January. Please see the attached original invitation and training schedules.

Performing a TIME OUT prior to all operative and invasive procedures is the policy of Excela Health and has proven to prevent wrong site, side, and patient procedures nationally.

TIME OUT is required immediately prior to all non-emergent operative and invasive procedures done in any location including at the bedside.

During a recent Joint Commission Survey at Frick Hospital, it was identified by the survey team that a bedside thoracentesis was performed by a physician without the required TIME OUT including site marking being performed.

This is an unacceptable and risky practice. If you have any questions, please contact Denise Addis, Director Accreditation and Regulation at or daddis excelahealth.

Thank you for your continued support and commitment to patient safety. The PPEC is a new multi-specialty committee and the foundation of the new process.

The PPEC's sole function is to use its expertise to help colleagues on the Medical Staff improve their clinical practice. When concerns are identified in a practitioner's clinical practice, the PPEC may develop an individual performance improvement plan to address those concerns.

Below is a link to an information sheet and detailed process flow chart. Reporting of Suspected Transfusion-Associated Infections posted: This improved safety of the blood supply, including the decreased risk of transfusion transmitted infections such as HIV and viral hepatitis, has been accomplished by improvements in donor selection and testing procedures.

The risk for Hepatitis C transmission through a blood transfusion has been decreased to an estimated 1 in 1,, transfusions, The improved testing NAT closes the window period for not detecting an infected donor to an approximate period of one week.

The risk for Hepatitis B transmission to has been reduced to between 1 in , to 1,,

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