Clinical Software Website
WELCOME and thank you for visiting our website.
Any website comments or suggestions contact
How many Trauma Cases did you see last year?
Which geographical suburbs are your trauma cases coming from?
What age groups do you treat?
How many patients go where after being treated?
Get a full printout of any patient: when he/she was admitted, why, medical team involved with the case, any complications, procedures, ICU data, Injury information and where he/she went after being treated.
How much blood did you use last year?
Where do your complications occur and how can you prevent them?
Which patients did a certain doctor see last month?
How long are your patients spending in your Emergency Unit?
How many Laparotomies did you perform last year and how many patients survived? Who treated those patients?
HOW TO BENEFIT FROM YOUR DATA
There are countless ways in which you may benefit from your data. Some include:
(Think of how long it would take you to find this information about your hospital. With MediBank it is instantly accessible.)
How many patients died last month?
What were their probability of survival scores? If greater than 50% why did they die?
MediBank in use at the Johannesburg Hospital Ė Sandy Marx (Data Manager)
Because accurate, real-time electronic data capturing and utilisation is a relatively new concept in South Africa any unit installing and using MediBank is bound to experience teething problems Ė I know we have experienced ours, but hopefully our 18 months of using and fine-tuning the program will make it a bit easier for other units to ease into the program.
The benefits of having instantly accessible data on all our major trauma cases adds huge credibility to our unit Ė we have hard facts on what we do. It must, however, be emphasised that what you get out of the system is only as good as what you put into it. I have a part-time post with the Johannesburg Hospital and my responsibilities are mainly data management. The trauma secretary Kate Mahlomotja is responsible for entering the demographic, incident, pre-hospital, referring hospital and emergency unit data (these sections can be captured by a data capturer with no medical training). From here on myself and Dr Helena Alves (head of trauma casualty) take over, entering the diagnosis, theatre procedures, ICU and any follow-up data. We capture 40-60 cases a week.
Patients are entered into MediBank and reviewed at a daily handover meeting during which the previous 24hrís admissions are discussed with the doctors (registrars and consultants) involved with their treatment and data entered into the computer is verified as correct. Daily follow-up of patients in the unit is also done and all theatre visits, other procedures, complications, discharges or deaths are recorded. You can search for patients on the database by hospital number, name, surname, admission date, age, etc. Ė so tying surgical notes, ICU scoring sheets, discharge summaries, etc. to patients in the database is easy.
Should a doctor require a list of the patients he/she was involved with or the theatre procedures he/she performed during the last week, month, etc. a report can be instantly printed.
On a Monday morning we run a Death Report for the previous week which we send to our pathologists who in turn bring the Post Mortem reports on these patients to our Wednesday Mortality and Morbidity meeting. Mortalities are discussed using MediBank to reference any aspect of the patientís injury, scene treatment and times, emergency unit data and management, surgical interventions, ICU data, complications, etc. The pathologist gives the post mortem findings which are then entered into the patientís record. The software automatically calculates probability of survival scores based on both the ISS and NISS scores. All this info is used to reach a performance review decision concerning the patientís care.
Complication reports can be run to monitor and manage the occurrence of complications.
Observing an ICU patientís SOFA graph pattern adds a simple, visual facet to your ICU monitoring.
In our unit there is a huge demand and scope for research. Researchers involved in major studies utilise info from the database. Individuals requiring info on specific injuries have access to all patients treated and can run reports on, for example, any specific injury they would like to research (penetrating neck injury, diaphragm injury, etc.) and are provided with instant material to utilise.
HERE IS A DOCUMENT WE RECEIVED FROM A USER OF MEDIBANK.
A hospital like any other corporate entity can move in two directions. It can either set measurable goals, move in a positive direction thereby improving its infrastructure and providing improved patient care, or it can move in a negative direction and gradually deteriorate. Planning to remain the same is planning to drift aimlessly and is a recipe for deterioration. A hospital cannot set any type of future measurable goals without information about how it is performing now. Sadly few hospitals have a comprehensive CLINICAL computerised system to gauge patient care, to compare performance and to pinpoint shortfalls in hospital management and patient treatment. MediBank is a system that does exactly that. It suppies the information needed to facilitate future hospital planning.
Page Last Modified 03/11/2008
Over a period of time calculate the percentage of patients who develop complications and where they happen.
How long do your patients wait to be treated on average?
What days of the week and times of the day are busiest in your EU and are you sometimes understaffed or overstaffed?