2021-08-31 Release 104

FEATURES

Canceled Transactions is Live in Labs!

We are excited to officially launch the new Canceled Transactions report in Labs! ControlCheck looks to help its customers identify possible diversion behavior as soon as it happens so that action can be taken quickly before anyone is harmed. One way diversion can go under the radar is by a user going to the ADC (Automated Dispensing Cabinet) and opening a drawer or pocket under a canceled transaction type and diverting the drugs. Typical patient-associated canceled transactions are ones like Override Canceled or Remove Canceled. These events usually take place under perfectly explainable situations; for example, let's say a trauma patient comes to the emergency department and requires immediate medication attention but doesn't have an order for medication. The provider on the case would likely need to pull the medications under an override transaction. Then once the drawer is open, the medication is no longer needed so the drawer is closed as a canceled override and no drugs are dispensed. Another scenario is canceling a removal because the provider realized they had selected the wrong drug on the ADC once the drawer opened. However, these event types also have the potential to be a diversion risk.

Empowering our customers to monitor behavior around canceled transactions provides an extra layer of protection from diversion behavior. With the new Canceled Transactions report, Labs users will be able to see which users have statistically unusual behavior compared to their peers around canceled transactions in the ADC.

This new report details a score ranking of users based on their Canceled Transactions rating. Users with the highest score will be listed at the top in red and yellow; these users have abnormal behavior as compared to their peers with interaction of canceled events on controlled medications. A few different elements are incorporated into the score: quantity of canceled events in the time frame, location of those events, and controlled med on the canceled event.

It may be common for a particular department to have more canceled events than others because of the nature of those departments. For example, EDs and Trauma units are likely to see higher quantities of canceled events on overrides due to the hectic pace; usual protocol that prohibits or discourages canceled events is typically excused in the trauma units because it is a matter of life and death and managing an ADC under the pressure can be stressful.

The Area Detail View graph provides a view of users (names are listed on the vertical axis) ranked by their quantity of canceled events (across the horizontal axis) across the entire hospital or a selected department. To see which user has the highest number of canceled events across the entire hospital, view the All Hospitals option. You can use the dropdown at the top to filter on a particular department.

The Canceled Transactions by Department graph highlights departments with the highest number of canceled events. In this example below, the TRAUMA department has the fourth highest number of canceled events.

The Canceled Transactions by Medication graph identifies which drugs are most commonly canceled during the dispensing and return processes. It is important to identify trends in event data where a particular med is flagging higher than others. For example, a particular user might have a lot of activity for a particular controlled med because they are diverting that med as their med of choice and they are using canceled transactions as a means of going under the radar.

This report is in our Labs environment because we are still validating its influence on a user’s overall IRIS score before incorporating the metric into live IRIS data. It is important to validate that the conclusions drawn from the data in the Canceled Transactions report are meaningful enough and statistically significant enough to affect a user’s overall IRIS. To share your thoughts on the new Canceled Transactions report, send us an email to our Product team at product-ControlCheck@kitcheck.com or reach out to your Solutions Consultant.

Not a Labs user? Reach out to your internal ControlCheck admin or Solutions Consultant for help.

Med Trends Redesign and Performance Improvements

The Med Trends page in IRIS User Analytics has been given a face lift! We have been monitoring the performance of the various IRIS metric pages and IRIS Dashboard and decided to focus on Med Trends because it had much slower than expected load times. During our investigation, we discovered that the graph on the left-hand side of the page was causing slowness because it was rendering all providers at once. To combat this, our Product and Engineering teams joined forces to rethink how the data is displayed. In this new design, the left-hand panel features an accordion-style list of users, ranked by their Total Mass amount for the selected Drug and Event Type (controlled by the filters at the top of the page).

The panel allows customers to expand a user’s card and view information such as the user’s overall IRIS (for the selected date range), the total number of events that represents the Total Mass amount, and the average mass per event. Multiple users can be selected at once from the left-hand panel. While a user’s card is expanded, their corresponding dot on the scatterplot is highlighted in pink.

The teal-colored icon on the right of the user’s card is used to investigate the data associated to the score and details seen in the user’s card.

The Med Trends report is also getting multi-chemical meds added to it in the next release so be on the lookout for that exciting new update!

New Form Factor Types Added

To support the automated med mapping initiative and enhance the knowledge of the ControlCheck medication dictionary, we have added the form factor types seen in the image below to the database. These new values are not all supported for audit reconciliation just yet. We are working on building new logic to support: Epidurals, Infusions, Suppositories, Supplies, and Topicals. Check out the launch of this new logic in an upcoming release!

Upgrades & Fixes

• HOTFIX Release: Fixed an issue that was causing inaccurate red badge counts on the Location Mapper and Med Mapper tabs under the Manage tab. 
• Fixed an issue where filtered events were interfering with the enforcement of strict event type rule in the case grouping algorithm causing incorrectly formed event summaries that had an out of order sequence and contained a filtered event.
• Fixed an issue that was failing to filter negative amounts from Pharmacy module data. Pharmacy events with negative quantity will be filtered from appearing on event summaries. There will be a reason for the filter displayed on the pharmacy_events table in the filter_reason_id column which can be referenced with the filter_reasons table.