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CS-ER

Accident & Emergency system

A lot of administrative procedures take place in the Accident and Emergency department, a hospital within a hospital. CS-ER is the module that ensures the computerization of all these patient logistic actions. The computerization of these actions can provide support for the problems experienced in the Accident and Emergency department, such as time pressure and the absence of a good overview of patient logistics. CS-ER can greatly reduce time pressure, because a patient can be registered quickly and effectively in this module. In addition, CS-ER has a routing screen displaying the status of all patients with a registration at ER.

How does CS-ER work?

As soon as a patient enters the Accident and Emergency department, his /her data must be registered. At the start of a new registration, an ER number is automatically registered. Obligatory fields for this initial registration are the patient number (or a temporary number) and the person responsible for the treatment. The other fields can be completed during or after the treatment. These basic data are free to be defined. Examples are: origin type (ambulance, own transport, etc.), initiation general practitioner, complaint, diagnosis, conclusion and urgency (for determining waiting time). Questionnaires can be used for elaborate registrations, such as a patient’s case history. These questionnaires are compiled specifically for the hospital, tailored to the managers’ and users’ wishes. There are numerous options for these questionnaires. Check boxes, lists and free text can be employed, but also pictures and drawings.

The ER routing screen clearly displays the status of the patients. The different statuses are: waiting room, in treatment (in which treatment room), radiography, laboratory, OR, admission and treatment completed. This shows clearly where, for how long and why someone is where they are. The different registrations can be summoned from the routing screen.

Benefits

If during ER treatment, a person administering treatment needs to be changed, this can be registered simply through the routing screen. The new person administering treatment is registered as a change in the ER consultation. The ER treatment history shows from which persons the patient has received treatment, including the starting and finishing times of the treatment period.

The resident physicians are linked to a doctor responsible or more than one doctor responsible. They are shown the moment a resident physician treats a patient.

A diary/subdiary can be maintained for each doctor. If a doctor is registered as providing (joint) treatment, an ER consultation is automatically booked in the diary of the doctor providing treatment. Procedures performed can be added using this consultation. A DTC can be started from the ER registration: using a link between CS-ER and a system for DTC-registration, for example.

In addition to ER routing, which provides an up-to-date overview of patients and occurrences in the Accident and Emergency department, CS-ER also offers historic overviews. These could be overviews of a particular patient’s history or a certain period or day overviews. It is simple to generate such overviews in CS-ER.

Most important features

The routing screen, which can be displayed at any given moment, provides a clear overview of all patients undergoing treatment at that time, with the corresponding actions. At each change of a patient’s status at ER, the starting and finishing times of the status concerned are registered. From this, the status waiting/processing time is calculated automatically. Using the overview generator, an overview can subsequently be made of the waiting and processing times. If necessary for a particular urgency, the waiting time can be limited through entering a maximum allowable waiting time. If a patient has been in the waiting room for longer than the maximum waiting time, the patient concerned is marked in red in the routing screen.

Using the ChipSoft module CS-Invoice, all procedures can be registered decentrally. In addition, these procedures can be submitted to the invoicing system. This can be ChipSoft’s invoicing system, but it is also possible to supply third party invoicing systems through an interface.

Flyer page 1 (.pdf)

Flyer page 2 (.pdf)

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