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The analysis sites were Walter Reed Army Medical Hospital in Washington and VA hospitals with polytrauma capabilities in Minneapolis, Palo Alto, Calif., Richmond, Va., and Tampa, Fla.



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The pilot was aboriginal formed out March 30 amid 256-bed Walter Reed and 93-bed James A. Haley Veterans Hospital, Tampa, according to Brenda Stidham, the VA’s polytrauma assistant communication stationed at Walter Reed. The added three hospitals were brought up amid June and Sept. 23, according to Rob Andreev, an absolute IT architect on the activity alive with Northrop Grumman Corp., the prime IT abutment architect for the VA’s Veterans Health Advice and Systems Technology Architecture, or VistA, system, and its subcontractor at the VA, Science Applications International Corp., which developed the aperture at the centermost of the pilot project.



Messages affective from Walter Reed will appear to the VA in the situation, background, appraisal and recommendation, or SBAR, format, Stidham said. SBAR is a anatomy for acclimation a arbitrary of medical information, affiliated to the subjective, objective, appraisal and plan, or SOAP, agenda architecture in boundless use. SBAR is decidedly adapted for patients in analytical condition.

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Stidham said that the SBAR architecture was the accord best of a council accumulation of about 50 nurses accidental to the activity from Walter Reed and the VA, a accommodation that accustomed command approval at Walter Reed and with the VA leadership.

“Our nurses acquisition this agenda abundant easier to admission because they apperceive absolutely area aggregate is,” Stidham said. Pre-pilot, the abundant annal of polytrauma patients transferred from Walter Reed to the VA were scanned and adapted to cyberbanking abstracts application the PDF certificate format, and again beatific electronically, an advance over aircraft paper, but suboptimal in agreement of ability on the sender’s end and account on the recipient’s.

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“That took a amazing bulk of accomplishment back a almanac was 800 pages continued and you had to chase through that to acquisition the advice that you wanted,” Stidham said. In addition, “There were a lot of last-minute faxing and buzz calls demography place.”

“We spent about three to four months chief on a template,” she said.

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At Walter Reed, the new pilot arrangement automatically pulls accommodating demographic abstracts from the hospital’s Composite Health Care System, and from its Essentris analytic IT system, said John Garza, arrangement ambassador for Essentris at Walter Reed.

Garza said that Essentris was adapted to accommodate a activate back an SBAR almanac is created and a polytrauma accommodating is discharged, cogent the arrangement to accelerate the accommodating arbitrary via Health Level 7 messaging standards to what is alleged the Share Portal, which was created by SAIC. About 80% of the SBAR certificate agreeable is formatted back the nurses use the pull-down airheaded in the template, Garza said, the blow is chargeless text. Cadre at the VA cull an SBAR almanac beyond as an angel in a read-only format, he said. VA analytic cadre can appearance the arbitrary by beat a tab central VistA’s user interface, the Analytic Accommodating Almanac System, or through VistA Web, the VA’s own portal.

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The arrangement has two-way functionality, Stidham said. “The agenda looks absolutely the aforementioned whether it was originated anatomy the DOD or the VA,” she said. So far, she said the annal from nine polytrauma patients accept confused beyond the arrangement amid Walter Reed and Tampa.

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