Triaged Data Display
Triaged Data Display (TDD) is a successfully tested technology that can help YOU!
Think about YOUR critical information: where is it? Then, after you find it, has the critical
problem been addressed?
Current software system structure is often complex and finding where critical information resides can be difficult.
In medicine, avoidable patient injuries and deaths unfortunately occur, in part because of test results that are not recognized and not acted upon quickly enough. There is no simple way to establish that problem X has been taken care of by nurse practitioner Jones, whereas problem Y is still pending solution.
First, TDD provides a triaged display representing ALL reports, highlighting the ones with critical results on a single screen. TDD then enables triage of the report to a designated team member. The critical report remains on the primary display and it is identified as triaged but not resolved. Only when the underlying problem noted in the report is resolved, then the critical designation is removed. Additionally, TDD is always SINGLE SCREEN.
Figure 1: Triaged Data Display
Figure 1 shows a TDD image of 200 unacknowledged reports, limited to laboratory results, for this survey. The reports are first divided into 11 categories arrayed at fixed locations around a circle. Within each category the reports are then partitioned into critical reports enumerated in a small circle lying outside the larger circle and connected by a line to a small circle on the circumference with the partitioned, corresponding non-critical reports. With most HER (Electronic Health Record) systems, 2 prior lab reports of the same type are included in TDD.
The placement of the cursor over the small circle with the number ‘‘3” (critical hematology) displays the first report (‘‘top of the stack”) on the right. The report remains at the top of the stack or queue until a click signs off the report, or the report is triaged to the triage partner for “Action Needed” (see also Figure 6). The next report in that data category queue appears on the right of the screen.
Figure 2: Standard Display Formats
Figure 2 shows two panels: on the left, a Meditech hematology result with critical values flagged in red and abnormal but non-critical results flagged in yellow. The right panel shows an Orchard chemistry result for this survey with critical values flagged in red. Both these formats were tested in a clinical trial and found to be inferior to an earlier version of TDD. The results were presented in a peer-reviewed publication.
TDD has a constant display format for all the data of a single patient, multiple patients, or even multiple practices. These 3 different scenarios are illustrated in Figure 3 (on next page). The constant TDD view at the top of the stack (Figure 3, top) enumerates and represents all the reports within the underlying queue. In this example, the category assignments represented by each circle are constant and depicted in Figure 1. The display of 4 reports of a single individual is in the left column. The display of 112 reports for a single practice is in the center column.
The display of 12,979 reports from multiple practices is in the right column. The increasing height and grey scale of the cylinders reflects the increasing data density going from left to right. The reports are understood to be in a virtual ‘‘stack.”
Figure 3: Top and Side Views of the TDD Virtual Stack
Figure 4: TDD Workflow in Medical Data Management
Figure 4 shows how TDD can improve workflow in medical data management. Critical reports are acknowledged immediately by the responsible practitioner or provider. Non-critical reports are acknowledged routinely by the provider or triaged to other members of the health-care team (the current version of TDD has a novel, inherent triage function). The criteria that define critical information can be adapted by the user, and includes a fixed magnitude change in value from a prior result (Figure 5).
Figure 5: TDD Users Can Customize Critical Settings, Critical Categories and Critical Magnitude of Value Change (e.g., Hemoglobin Fell from Prior Values)
TDD is currently being implemented at Guthrie Clinic in Pennsylvania through an interface to EPIC health record system.
Let us adapt TDD to YOUR specific needs!
What defines a critical result in medicine is often a very abnormal numeric value. For other users, it might be module completion of a complex project. For example, a major corporation was recently implementing a total software change in Human Relations (HR). Unfortunately, the project was delayed because the payroll module implementation lagged implementation of the other modules.
In that scenario, TDD could display the set of modules around the circle with relevant categories. The project manager can then monitor task completion of the individual modules. As the component tasks within a module are submitted as complete, the project manager can confirm the module as finished and the number of remaining critical tasks in that module stack decreased by 1.
Figure 6 shows how TDD enables task triage. The critical report can either be a) signed off immediately, b) action taken by provider (repeat test ordered then sign off), or c) referred to triage partner for action (buttons defined in Figure 7). The triage partner takes the action needed and sends the report back to the provider for approval and sign off.
Figure 7: Triage Buttons
The above is but one example of a myriad of possible examples. Other possibilities include status of the set of machines in complex manufacturing facility or multiple facilities. TDD is useful in virtually any setting where a high standard of performance is required of a system with complex, numerous components. TDD is INFINITELY SCALABLE!!!
Let TDD help you get to higher efficiency with improved team communication and strengthen a GREAT TEAM SPIRIT in your group.
For additional information, licensing opportunities, and a full prospectus on the Triaged Data Display contact:
VP of Business Development