| DESCRIPTION OF ENHANCEMENTS |
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procedures. This patch implements the new levels of resident
comment field.
At the end of the conversion process, this patch will delete the data
dictionary of the CORRECT SURGERY COMMENTS field (#74) in the SURGERY
file (#130), which was exported in phase I of the Ensuring Correct
Surgery patch SR*3.0*126.
3. SURGEON PRESENT TIME ON NURSE INTRAOPERATIVE REPORT
Patch SR*3*25 modified the Nurse Intraoperative Report so that it
displayed the SURG PRESENT TIME field (#.206) only if data was entered.
This functionality, omitted unintentionally by patch SR*3*100, is
supervision in the Surgery software and includes the following
restored by this patch.
4. DOCUMENTS PRINTED FROM TIU
This patch modifies the routine SROESPR to correct a possible problem
if no print group is defined when a document is printed.
features:
(a) A new file, ATTENDING CODES file (#132.9), is created to store all
attending codes used by the Surgery software. These codes include
both sets of Levels 0 to 3 (before and after patch SR*3*126, all
flagged as inactive codes) and the latest codes for Levels A to F
(active codes).
There is no conflict between this patch and the CoreFLS software.
(b) The name of the existing ATTENDING CODE field (#.165) in the SURGERY
file (#130) is changed to *ATTENDING CODE - NOT USED and a new
ATTENDING CODE field (#.166) is created that points to the ATTENDING
CODES file (#132.9).
(c) The patch includes a post-install conversion that loops through all
the cases in the SURGERY file (#130) and matches the attending code
in the old field (#.165) with the equivalent code in the new
ATTENDING CODE field (#.166), storing the equivalent code in the new
field. The content of the old field is not changed by the conversion.
Installation of this patch by the CoreFLS sites will not cause any
(d) The following data entry options are updated to use the new ATTENDING
CODE field (#.166):
- Post Operation [SROMEN-POST]
- Operation (Short Screen) [SROMEN-OUT]
- Surgical Staff [SROMEN-STAFF]
- Edit Non-O.R. Procedure [SRONOP-EDIT]
- Update 1-Liner Case [SROA ONE-LINER UPDATE]
(e) The following report and display options are updated to use the new
problems.
ATTENDING CODE field (#.166):
- Attending Surgeon Reports [SROATT]
- View Patient Perioperative Occurrences [SROMEN-M&M]
- Operation Information [SROMEN-OPINFO]
- Quarterly Report - Surgical Service [SRO QUARTERLY REPORT]
Note: The Perioperative Occurrence Categories on this report are
updated to reflect the categories used by the National Surgical
Quality Improvement Program (NSQIP) and the Continuous Improvement
in Cardiac Surgery Program (CICSP). Some of these categories may
not be immediately available for selection, but will be included
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later in the NSQIP/CICSP ENHANCEMENTS 2004 patch (SR*3*125).
- List of Operations Included on Quarterly Report [SROQ LIST OPS]
- Report of Missing Quarterly Report Data [SROQ MISSING DATA]
(f) The patch updates the transmission of Quarterly Report data to the
national database to use the new ATTENDING CODE field (#.166).
2. ENSURING CORRECT SURGERY PHASE II
Phase II of the Ensuring Correct Surgery Enhancement Project provides
the following enhancements:
(a) The following new fields are added to the SURGERY file (#130):
- TIME OUT VERIFIED COMMENTS field (#82)
- IMAGING CONFIRMED COMMENTS field (#83)
- MARKED SITE COMMENTS field (#84)
These fields are added to capture the comments corresponding to the
following:
- TIME OUT VERIFIED field (#71)
- PREOPERATIVE IMAGING CONFIRMED field (#72)
1. RESIDENT SUPERVISION
- MARKED SITE CONFIRMED field (#73)
(b) The following data entry options will be modified to include
the new comment fields noted in item (a):
- Operation [SROMEN-OP]
- Operation (Short Screen) [SROMEN-OUT]
- Nurse Intraoperative Report [SRONRPT]
Entry of "NO" in any of the three Correct Surgery fields will prompt
the user to enter the associated comment field. Entry of "NO" in
The Veterans Health Administration (VHA) Handbook 1400.1, dated May 3,
any of the three Correct Surgery fields will not automatically force
entry into the respective comment field.
(c) Nurse Intraoperative Report Changes
If any of the three Correct Surgery fields are not answered, the
nurse will not be able to electronically sign the Nurse
Intraoperative Report. If any of the three Correct Surgery fields is
answered "NO" but does not have information in the corresponding
comments field, the nurse will not be able to electronically sign the
Nurse Intraoperative Report. The nurse will be able to update this
2004, changed the levels of resident supervision for operating room
information at time of signature without leaving the option.
(d) The compliance reports, which were disabled in phase I are
reactivated and are modified to display the new formats for the three
Correct Surgery fields.
(e) Convert Existing Comments
For each of the three Correct Surgery fields answered with a "NO"
response, the information in the CORRECT SURGERY COMMENTS field (#27)
of the SURGERY file (#130) will be replicated in the corresponding
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