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INR clinic Audit form ;EHSSB
Posted by: MANDY SHAW ()
Date: 03 October, 2001 06:10PM



I AM UNABLE TO ANSWER LAST 3 QUESTIONS ON FORM USING RAT AUDIT. AM I MISSING SOMETHING? I AM ABLE TO OBTAIN NUMBERS OF INRS WITHIN TARGET RANGE ETC BUT NOT NUMBERS OF PATIENTS WITH INRS WITHIN TARGET RANGE. DR. BOOTH HAS NOT HAD ANYONE ELSE CONTACT HER WITH THIS DIFFICULTY!!! COMMENTS PLEASE.

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Re: INR clinic Audit form ;EHSSB
Posted by: Colm Rafferty ()
Date: 03 October, 2001 07:42PM

Dear Mandy,
If you look further down the list of preset audits you will see:
'Pts registered in last 12 months'
&
'Pts within range in last 12 months'

Run these 2 audits.
These will give a monthly breakdown of patients within range over the past 12 months.
To get a percentage for any month you divide :
'Pts within range in last 12 months' / 'Pts within range in last 12 months'
then multiple by 100 for that month's figures.

I hope this is what you need.

Colm Rafferty

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Re: INR clinic Audit form ;
Date: 15 May, 2002 04:25PM

Dear Colm
Is it possible to audit "the % time spent within range" as requested by our consultant haematologist? As the time between tests is shorter when results are out of range, presenting results of "% tests within range" gives an inaccurately poor impression of the service.
Also, is it possible to link RAT with GPASS, EMIS or Vision Vamp to reduce the keying in of data? (INR results, recommended dose, drug therapy, etc)
Thankyou for your assistance,
Karen

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Re: INR clinic Audit form ;
Posted by: Colm Rafferty ()
Date: 17 May, 2002 12:14PM

Dear Karen,
"the % time spent within range"
I will have a look at this. This is the latest way to try and account for the over-representation of patients with unstable INRs. Do not worry about the 'poor' preformance figures. At best you will only get 50% of INRs within range. The % calculation is a way to massage the INR figures to get to the magical 80% level within range.


>is it possible to link RAT with GPASS
GP clinical systems at present do not allow third parties to lift data from their database. Torex have a API which may help, but it is inly specific to them. I am looking into this.

Ideally INR monitoring should be a module within the clinical system not a separate package.
Regards
Colm Rafferty

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