2022 Upgrades for version 2.6
Improved User interface
We improved and added features to the user interface to improve and expand the user experience across many settings and renal modalities, as summarized below. All features are still the same for all users, though.
- Scrolling through patient and pop-up notes
- Using patient NHI for searches/filters and additions
- Highlighted links to Critical interventions
- Text alerts on Careplans for color-blind users
CarePlan ACTION points
In addition to standard careplans directed at the patient, we added action points directed to renal care workers. So, whilst the patient knows what to do, the care provider can also get guidelines-directed action plans.
- Specific CKD MBD adjusted to renal guidelines
- EPO and iron adjustment for Anaemia management
- Phosphate binders and Vitamin D supplementation
- When to escalate treatment to MDT/Clinician
Notices, Alerts and Links
From the Patient Summary Page, the users can access and edit notifications and reminders about the patient's upcoming plans and recent progress/updates. CarePlans updates are also showing here.
- Using patient associations to build CaseLoads
- Virology and Social Alerts added to Headlines
- Modality changes subject to Dialysis Access entries
- Red alerts numeric indication per RRT modality
Eclair result efficiencies
In preparation for your monthly renal MDT, these reports are updated daily to reflect the disease burden in each modality. Reports are categorized per modality and renal parameter, showing Red Alerts first to allow focused management of CKD in each modality.
- Edited results in Eclair retrospectively updated
- Tracking tables of RenalReality uploads
- Opt-out feature and Eclair Audit trails
- Event dates changed from MM-YY to DD-MM-YY
User CaseLoads and Landings
The Home Page (Landings) lists patients per modality or user preference. From here, the user can filter or sort patients according to different measures that include modality, location, ethnicity, and associated staff member (which becomes the CaseLoad of the clinicians)
- CASELOADS defined by associated staff/users
- Landings as per user profile and preferences
- Filters (Sorting) per modality, location, and ethnicity
- HD/PD scripts expanded and generalized
More ways to enter events
Other than following a menu tree and entering one clinical event at a time, you can now enter events using FORMS. Data that comes in other formats can now be uploaded using File Attachments. You also got more Quicklinks customized to your renal unit requirements.
- Forms, Referrals, and documents in MainMenu
- QuickLinks to Family meetings and Medication lists
- Attaching a document and link to clinical events
- Using preset FORMS to enter sets of clinical data
additional features added in 2022 - released 2.55 November 2022
Data entry Forms
The functionality and features on all forms had been improved to include clearing prefilled data, showing previous authors, and the date/time of entries.
Quick link buttons to access related data from, for example, HD scripts to HD sessions, were also added.
Medication tabs
Full management of medications, from the current list to Stopped / Withheld medications, can now be done in RR2.5.
Up to an active list of 15 drugs can be managed this way. Scripts from these tabs can be exported as an edited active list or create as a Pharmacy script.
Adding results manually
Results from Digital Diabetes tools and manually recorded URR, for example, can soon be added by users. URR will then be stored as data entry for historical access and report building.
Staff management
As your staff list change, you can now manage active vs. inactive staff members. This will impact caseloads and appropriately be reflected in RR2.6
an itemized list of version 2.55 upgrade
- Enhance Dashboard loading speed, reducing it from 5-7 seconds to 3 seconds as in previous versions.
- Differentiate between Corrected and uncorrected calcium levels and indicate adjustments post-data upload.
- Preserve line-by-line text format when editing existing entries for easier editing.
- Display Parathyroidectomy information prominently on the Bone disease Grid to distinguish between surgery and referrals.
- Enable manual entry of URR calculation and allow up to 8-hour intervals for URR calculation.
- Provide a quick link for secretaries to copy and paste medication information from the Medications Tab.
- Show "No info" in Status Bar columns only when there are no historical entries under Dialysis access; even if access is removed, the last data entry should be visible in the status bar.
- Refine Dialysis access, particularly when multiple lines are inserted or removed with the same tertiary drop-down options for removal and creation.
- Limit the list of drugs to 15 pills under Advance management on the Medication Tab.
- Add administration functionality for medications, allowing pharmacists (admin users) to upload or edit an updated shortlist of medications.
- Remove inactive physicians' names from the top bar of the physician options.
- Include staff numbers (Active vs. non-active) and link patients to staff members (CaseLoads) in reports.
- Add quick links for HD reports and PD reviews from the HD and PD script views.
- Include Phone calls in PD review.
- Standardize BP entries to be in the same format, such as number/number space followed by free text (e.g., 120/80 p86 reg).
- Provide a quick link from HD Script to FORMS and HD records if there are entries.
- Add "Late CKD" to the ALLOCATION drop-down list.
- Improve Dietitian Feedback to prevent saving empty fields.
- Implement a "NEW ENTRY" option with blank fields to clear prefilled data from the most recent form.
- Enable the ability to delete a record, with RR marking it as inactive globally across all forms.
- Add Author and Name, date of the last form to all states.
- Include a reason for Referral in Dietitian Feedback: RRT Modality change.
- Default "Assessed by" on dietitian form to the full name of the author, with the option for users to change it.
- Implement an algorithm to check variations in BP and Weights from HD reports.
- Revise the BIOMETRICS Tab to display a searched list of historical biometrics (Weight, blood pressure) rather than forms.
- Manage "Not for RRT" and "Not for ACCESS" in the same way as "Not for dialysis" in RR2.5.
- Incorporate CV and CKD risk assessment tools for all patients in the planned RR3.0 release.
- Include Transplant workup forms as part of the RR 2.6 release in Taranaki.
- Provide quick access and view of data in Forms, with markers indicating data in any forms.
- Display medication charts reflecting active and recent changes in medication over a chronological timeline.
an itemized list of version 2.6 upgrade live since 25 September 2022
- Enhanced website optimization for improved page response time.
- Extended text area edits on existing patient records to match the row count.
- Added 4th level descriptors to the Parathyroidectomy display on the summary page.
- Revised URR calculation on the summary page, expanding the time range in the algorithm to 8 hours.
- Included URR as part of the results import process, saving it as a value.
- Continued real-time calculation of the Summary Page URR.
- Restructured medications interface to streamline script creation and edits.
- Modified behavior to require users to click an "Add new row" button to add more medications.
- Listed existing medications and allowed the addition of up to 30 new drugs in a new window.
- Removed limits on the number of Active, Withheld, and Stopped medications in the popup or summary display.
- Added "Withdrawn" to the ongoing saved medication list.
- Implemented auto-population of the current date in existing scripts.
- Introduced a button on the Medications tab for one-click copying of the current script to the clipboard.
- Added administration functionality for medication local customization, enabling admin users to add, rename, and remove medicines from the drop-down list.
- Extended admin interface capabilities for adding, editing, and removing Quick Link items.
- Included Caseload overview in Admin functionality, allowing bulk removal of caseloads from individual clinical users.
- Displayed the "No info" message only if there are no entries under Dialysis access. Changed to "No Info" only if ALL lines have been removed.
- Removed the tunnelled neckline option from Access.
- Added HD reports and PD reviews to Quick Links.
- Included phone calls in PD review.
- Added "Late CKD" to the ALLOCATION drop-down list.
- Dietitian Form updates encompassed hiding empty field values in Patient Data grids, adding a clear button to the form for removing prefilled data, allowing the ability to invalidate a form submission (mark invalid and hide it from view), and setting the assessed by field to default to the logged-in user's name.
- Implemented global changes in forms, including adding assessment date, author, and submission date in the header of all forms and removing date and author fields from grid display in forms.
- Modified the behavior of "Not for RRT" and "Not for ACCESS." Removed non-algorithm events from select lists.
- Introduced asterisks to indicate available data in Dietitian and Medications tabs.
- Enabled text area auto-resize in all patient event grids.
- Transformed BIOMETRICS to display a SEARCHED list of biometrics.
- Added Dialyser values to HD script.
- Added date to Summary page Transplant Status notes.
- Included Access status events in the PD patient list.
- Added All Patients grids to the Search Page for Clerical and Data requests, offering the ability to group by gender, age, domicile, ethnicity, CKD, eGFR, hBa1c, and other indicators, with Excel export from the page.
- Made the grid page/row count configurable by the user.
- Enabled Excel export from all grids.
- Implemented title wrap in grids to facilitate page size management on lower-resolution screens.
- Redesigned Haemodialysis events and measures on the Haemodialysis Forms page.