#15 - Anesthesia Exceptions Tile

Andy Day: Hello and welcome. This is Andy from the Command Center team.

And today we're here to talk to you about the Anesthesia Exceptions Tile. We're on Tile Viewer, which is, of course, our landing page. Whenever you log into our system, you land here and can pick from a number of Tiles or apps, depending on your customer installation.

Today, we're going to talk about Anesthesia Exceptions. So we'll click there to dive into the Tile. Okay, before I dive into the Tile content, I would just want to orient to the navigation. On the top left, of course, is the name of the Tile, Anesthesia Exceptions. As you go across to the right, you see the little ‘i’ or Info button, that's where the Legend lives. This is where you can always see the definition of any symbols or flags on the Tile.

You don't have to have a lookup sheet or a cheat sheet with you, you can just look on the Tile anytime you want. I'll draw your eye to a couple of these that are interesting for anesthesia. The difficult intubation, for example, the one you see down there. The difficult IV, these are examples of alerts where - when a patient has a known history of being difficult to intubate or to start an IV, we want to have a specialist line team come down and be prepared to help, as opposed to the general prep nurse trying to do it, et cetera.

So we'll dive into some more of these alerts as we go through the Tile. To the right of the Legend, is the little gear button or Settings button. And this is where users can change the way the Tile behaves to suit the way that their preferences are. So for example, we'll show you later, you can change the way it sorts. You can change the scrolling behavior of the Tile.

You can snooze, non-snooze alerts. You can apply a filter depending on your role. And when you get it just the way you like it, you can hit apply, which we won't do right now, but it will save that for next time you come in. So it comes back the way you like it, and you don't have to keep redoing that. And at the bottom left of the Tile, you see a little flickering dots there. That's our Freshness Indicator, indicating to us when the last time that we've got data served at the Tile. Now today's data is mock data, so there's no PHI being shown, but it's very representative of what you see when the Tile is in real use.

Okay, so now let's look at the alerts themselves. You can see that there's two columns organized into today's alerts and tomorrow's alerts, based upon what we can see happening. So each of these boxes is a patient that's met a set of criteria defined with the hospital that indicates that they may be having a situation which will cause a delay in the process, or cause a workflow disruption, which will impact us in terms of the efficiency and effectiveness of our procedural spaces today. So some examples of this, the top one, we have a patient that's missing an anesthesia consent form, and you click on that.

You can click on any of these to see details about that specific patient. So you can see the patient's name, their case ID, the procedure they're in for, what type of anesthesia they're expecting, what phase of the peri-operative process they're in, and what OR or procedure room they're expected to be in. So again, I won't go through every one of these, but you see some consents missing, you see a block not administered, that's a good one.

This is a case that is scheduled to start in a certain period of time. And we have to start the block X minutes before the scheduled start time, or we will potentially delay the case because that block hasn't had time to take effect. And that of course, that is configured by the hospital based upon the type of block and the patient's weight and anesthesia dose and all that fun stuff. Difficult IVs, a good example there, a patient has a known problem with getting IV started, and so if we know that ahead of time, we can plan ahead and have the lines team, the team that specializes in this, standing by to help with that situation.

And again, before anyone even calls for that team, they'll be there ready to help, and the people that have the finesse to do those really hard ones, rather than the prep nurse having to try and handle it themselves. And so as you look at these alerts, there's a lot of them, we have six pages of them today, we can go up into the gear button, or the Settings button, and let's apply a filter, okay?

So let's say I am the manager of that team that does those difficult IVs, and so I'm going to go in and apply a filter by alert type. I'll do it for today, and I'm going to say difficult IVs and I'm going to hit apply. And what that should do is filter down to just those patients that we know have that difficult IV situation. So now I can plan for each one of those, which OR they're going to be in, what time they're supposed to happen, so I can plan to support that and mitigate those problems before they happen. You can always clear the filters, you see the little Clear Filter button up there on the upper right.

And let's try something else here. Let's go into the gear button and let's apply a sort, and let's say instead of doing it by alert time, I want to do it by location.

So let's say I'm organizing my anesthesiology team by room. And so then I'll hit apply, and this will filter these alerts so you can see those outlier conditions by room that we're seeing them in. So OR A02, and OR A04, and so we can organize where we need to help to mitigate these situations before the disruption happens, or at least minimize the disruption if it's already occurring. So again, this is the Anesthesia Exceptions Tile.

It's used to coordinate and assist in the flow of these complex procedural cases across an array of different types of procedure modalities. Orchestrating the efficient use of a constraint, which is typically anesthesiologists and anesthesia techs, and helping to keep people aware in the OR control room, up in the anesthesia break room.

Anesthesiologists walking around with their iPad, they can see the situations that are arising and help to mitigate them very quickly to keep the ORs efficient and effective.