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Hello today we're going to cover how to login to the platform external review as a service or arrest to view your case sheets each month you will get an email saying that charts are ready for review it will have a link to this site you want to bookmark that site and create a bookmark so that you'll be able to locate that in your toolbar you will sign in with the username and password that was given to you once you log in for the first time you'll want to go to your account settings and should check to ensure that your name is correct your phone number your email address create a new password that has to have more than eight characters and must include one number one uppercase one lower case and one special character you can create your own security question so if you could get your password you'll be able to do that select your language and your time zone and then update the settings otherwise to go and review your charts you just hit physician review and this person has this a test site has five charts you just hit the first link you can see the background information about the chart notice that there is no account number or medical record number here that information is available if someone wants to research the case in more detail however this is an educational process, so we're hoping that the physicians will take this as an opportunity to study their case management and earn see me credit so in this case we have an 80-year-old female patient hospitalized for 154 days discharged alive it's a medical case these are the diagnosis taken from the discharge summary these this is a list of the past medical pasta medical history is taken from the age p if we don't have the ancient Beau discharge summary than we put together as much information we can identify any potential complications such as prior hospice and hospitalization extended length of stay fall adverse drug event at first transfusion reaction etc we can flag special problems relating to the review of this chart in this case there was a comment about whether there is an indication to get back to back RBC transfusions, so it's an indication for back to RBC transfusions is uncertain here we can see in the upper right-hand pharmacy of the patron received two units of red blood cells no plasma no playlist on trial to these two units are critiqued is deferred there is a further discussion of how the critiques are performed however our loose definition of an avoidable transfusion one where the physician hindsight would probably say gee I guess I shouldn't have done that so this isn't about a seven or an eight gram hemoglobin these are about transfusions that I think most people would say we're probably unnecessary we if it's marked as no critique or the blue category that means that we didn't have the transfusion record a start time the transfusion, so we couldn't valuate that remember up to seventy percent of transfusions or perhaps not beneficial, so it's not surprising that we only classify...
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