Q-Sights medicine portal at work at Massachusetts General Hospital
- 230 Clinical Queries generate digest of salient patient findings
- Deployed at the MGH Department of Medicine in September 2012
- Most heavily used at admission but use continues many days into hospitalization
Q-Sights Portals for At-a-Glance Patient Insights
Q-Sights portals automatically display patient information the way that clinicians think, so Medicine and Emergency, Cardiology, Radiology and other specialties can quickly assess a patient. Conditions, symptoms, test results and exam findings are presented by body system, and represent the commonly asked questions a specialist will need answered to diagnose and plan care. The data is pushed into Q-Sights, eliminating the need to trove the patient’s record. Q-Sights increases clinical throughput reducing new patient intake, for example, from as much as 10-20 minutes to 1-2 minutes.
Make any clinician the smartest in the room
QPID’s Clinical Concepts capture the questions that the most experienced clinicians ask in order to reach a diagnosis or determine a care pathway. In Q-Sights, these queries run automatically against the source data to populate the patient’s portal. For example, “CKD” is highlighted when QPID finds results for “chronic renal failure,” “cRF,” “end stage renal disease,” and other common terms, as well as potential causes and relevant lab values associated with kidney disease. Simply hover over the highlighted label– using QPID’s “no click” user interface – and detailed information is displayed in context, so you don’t have to navigate to another page.
Clinicians can also conduct ad hoc research from Q-Sights using the vast library of Clinical Concepts. These powerful queries retrieve packages of related information, expediting decision making. For example, the Clinical Concept query for “abscess” will retrieve data on white blood cell count, fever, and antibiotic administration.
With QPID, the newest clinician benefits from the experience of the most senior colleague.
Q-Sights Medicine provides clinicians with answers to 230 questions of interest when a patient checks into the hospital. Diseases and symptoms are grouped by body system (e.g., cardiovascular, pulmonary, gastrointestinal). Results of common workups, as well as the patient’s allergies, medications, surgeries, devices and other clinically significant factors are presented. Quick links to code status, contact information for care providers, and other information that speeds time for intake of new patients.
Automated searches are executed based on over 70 Clinical Concept queries designed by a team of ED specialists to deal with the high acuity, high complexity patients they face. As soon as a patient is admitted to the ED, Q-Sights Emergency alerts nurses and physicians to potentially life-saving facts and “Don’t Miss” diagnoses (for example, a patient with very high or low blood sugar should be treated differently depending on the underlying illness – Type 1 or Type 2 diabetes).
The system optimizes the use of ED imaging and reduces complications and errors related to unavailability of past medical history. This is particularly urgent when patients are unable to answer questions.
Q-Sights Cardiology displays content that helps cardiologists quickly hone in on past medical history that may be related to cardiovascular disease. For example, the portal displays symptoms such as chest pain, a history of rhythm disturbances, medications such as statins, diagnostics reports such as prior SPECT or cardiac imaging, and implanted devices (e.g., pacemakers).
Q-Sights Radiology highlights factors such as previous cancers or past surgeries, for optimum image interpretation. In addition to the standard view there is a version designed for visual clarity in dark reading rooms.