ADVIA® 1800 Chemistry System Results Management Online Training

Now that we have our initial mean, we need to make sure it is accurate by validating it against a reference value.  What reference value can we use to validate this mean is correct? Welcome to the ADVIA® 1800 Chemistry System Results Management Online Training course.  This Course provides an overview of how results are managed on the ADVIA® 1800 Chemistry System and can be used as a tool to identify and assess common flags associated with sample analysis.  Select Next to continue.   List additional flag information that could be associated with patient results Locate patient results from different software screens Print the completed patient results Review and assess patient results Upon successful completion of this course, you will be able to: Select Next to continue. Now it’s your turn again. Back to our exercise, we have an initial mean.  Now we need an initial SD. One option is to use data from the prior lot.     How do you calculate the initial SD?   Congratulations.  You have completed the ADVIA® 1800 Chemistry System Results Management Online Training course.  Listed below are the key points that have been presented.  Take time to review the material before you proceed to the final quiz. In this course you have learned how to : Locate patient results from different software screens To locate patient results, there are two windows where results data can be viewed after an analysis has been requested: The Realtime Monitor and the Review/Edit  windows. This includes patient results for electrolyte assays from the ISE module. The location of these results depends on whether a new start or restart was performed on the system. Review, and Assess patient results Most results will not require extra investigating. However, occasionally, patient results may be flagged. Therefore, patient results should be reviewed in order to identify possible marks or flags associated with the results. They should be assessed  to judge the types of flags in question, that could require a corrective action. Print the completed patient results data Patient Results can be printed from the Realtime Monitor window or the Review/Edit screen. The Realtime Monitor window  shows different system information including patient results over a certain number of samples tested. Printing from that window will not produce  a chartable report. This print format can be used for internal purposes, for record keeping, or as an audit trail. Patient Results can also be printed from the Review/Edit screen as a chartable report. This means printing results from one patient sample at a time. Modifications to these settings may be performed with the help of a technical support representative. List additional flag Information that could be associated with patient results Additional flags associated with patient results may be observed based on the following software settings: Critical Ranges, Indices, Ratios, Automatic Dilutions and Reruns. These settings are programmed in the system by a Siemens support personnel according to customer specifications. Modifications to these parameters require a higher level password and the involvement of a Siemens technical support representative. Note: It is important to note that If multiple "New Starts" are performed within a 24 hour period, previously resulted data may be lost. A New Start will also delete any pending work orders.  Daily QC results will also be deleted after a New Start if they were not saved to the Cumulative QC file. Select Next to continue. Patient results data can be viewed in:Realtime Monitor window Review/Edit  window The system monitors results in real time and posts them in the Realtime Monitor Window as each sample completes analysis.  Select the Date to display a test with a different date to review. In the Review/Edit window, results are viewed and assessed after analysis is complete. Use this window to request a manual rerun or to print a chartable report. If the instrument is attached to an LIS or middleware, sample results can be transmitted to a host computer from the Review/Edit window.   View Patient Results Select this link to learn how to view patient results. Slide NumberText BlocksCalloutsAudio ScriptImage File1Accessing the Realtime Monitor Window Select the Request button to access results from the Realtime Monitor window.Slide QuestionAnswer TextHow do I operate this slideshow?At the top of the slideshow, you will find several buttons to operate the slideshow: To advance to the next slide, select the Next arrow, or select an area on the screen or image, if instructed. Select a numbered slide or use the Previous and Next arrows to navigate at your own pace. Audio plays automatically. Select an audio level to adjust the volume. Select Pause to stop and Play to resume the slideshow. Tip:  Select and drag the border of the Q & A box if it is in your way. You can also minimize or maximize the box.Select the Request button to access results from the Realtime Monitor window.2Realtime Monitor window Once the date and folder have been identified, select a Sample Number from the list to display the specific data from a test. Each test display consists of Concentration, Mark or Flag, and Absorbance information. Select Next to continue.Once the date and folder have been identified, Select a Sample Number from the list to display the specific data from a test. Each test display consists of concentration, Mark or Flag, and absorbance information. In order to display results details from more than one sample at the same time, first select a sample, then, while holding down the shift key, highlight the other samples that you want to view.3Other features from the Realtime Monitor window Patient Results data can be printed and saved onto a disc or other devices as csv files. Data is stored onboard the instrument for 7 days into folders that are created at each "New Start". This data is deleted after 7 days starting with the oldest information. Select Next to continue.The following functions can also be performed from the Realtime Monitor window. Patient Results data can be printed and saved onto a disc or other storage devices as csv files. Data is stored onboard the instrument for 7 days into folders that are created at each "New Start". This data is deleted after 7 days starting with the oldest information.4Review/Edit window The Review/Edit window also displays Patient Results. Data is populated in this window after analysis is complete. Select the Request button to access results from the Review/Edit window. Once the Date and Folder have been identified,  select a Sample Number from the list to display the specific data from the selected test. Select Next to continue.The other window where Patient Results can be viewed is called Review/Edit. Data is populated in this window after analysis is complete. From the Menu panel, Select the Request button to access Patient Results from the Review and Edit window. Once the date and folder have been identified, Select a Sample Number from the list to display the specific data from the selected test.5Execute a Manual Rerun from the Review/Edit window A manual Rerun can be initiated from the Review/Edit window. In order to manually repeat a sample analysis: Select a sample from the list Locate the R in the second column of the window  Place a check mark in the box next to the test to be repeated for that sample Save the request Execute the rerun Select Next to continue. Another very useful function that is available from the Review/Edit window is a Manual Rerun of a patient sample. A manual rerun is initiated from that window using the following steps: First, Select a sample from the list on the left side of the window, Locate the R in the second column of the screen, and Place a check mark next to the test to be repeated. Save the Request, go to Start, and Execute the rerun.6Initial and Rerun value from the Review/Edit window Results from Initial and repeated tests are posted on the Review/Edit window, along with any flags associated with the sample. The system will allow multiple manual reruns of the same sample, replacing the rerun value each time a new result is generated. Select Next to continue.The system will allow multiple manual reruns of the same sample, replacing the rerun value each time a new result is generated. Results from Initial and repeated testings are posted on the Review/Edit window, along with any flags associated with the sample. Because this is a manual request, you have to assess the results in order to determine which ones should be reported. You may elect to report the initial or the rerun value based on your laboratory Standard Operating Procedure. The system can be programmed accordingly. 7Other features from the Review/Edit window In addition to the standard color test status posted on the Test Results monitor, other colors are used to indicate specific status of tested samples from the Review/Edit window: Yellow indicates a pending rerun, when the reanalysis has not yet begun Dark Blue means a rerun is complete, and results have been generated Light / Aqua blue indicates that results are missing for at least one of the tests requested in the workorder In addition to the standard color test status posted on the Test Results monitor, other colors are used to indicate specific status of tested samples from the Review/Edit window: Yellow indicates a pending rerun, when the reanalysis has not yet begun. Dark Blue means a rerun is complete, and results have been generated. Light / Aqua blue indicates that results are missing for at least one of the tests requested in the work order.In addition to the standard color test status posted on the Test Results monitor, other colors are used to indicate specific status of tested samples from the Review/Edit window: Yellow indicates a pending rerun, when the reanalysis has not yet begun. Dark Blue means a rerun is complete, and results have been generated. Light / Aqua blue indicates that results are missing for at least one of the tests requested in the work order. Tip:  When complete, select the X in the upper- right corner to close the window and continue.CalloutsResults missingRerun pendingRerun complete The following information also appears on the Review/Edit window. In addition to the standard color test status posted on the Test Results monitor, other colors are used to indicate specific status of tested samples from the Review/Edit window: Yellow indicates a pending rerun, when the reanalysis has not yet begun. Dark Blue means a rerun is complete, and results have been generated. Light or aqua blue indicates that results are missing for at least one of the tests requested in the workorder. When complete, select the X in the upper- right corner to close the window and continue Patient Results can be printed from: Realtime Monitor window Review/Edit screen Print Patient Results Learn how to print patient results from the Realtime Monitor window and the Review and Edit screen. Slide NumberText BlocksCalloutsAudio ScriptImage File1Printing patient results from the Realtime Monitor window The Realtime Monitor window shows different system information including patient results over a certain number of samples tested. This is not a chartable report. It can be used for internal purposes for record keeping or as an audit trail. To print the test information: Select Request Select Realtime monitor Select  Print   Select Next to continue. Note: If audio does not automatically start, select the play arrow in the top left to begin.The Realtime Monitor window displays patient results for all samples tested over the course of the day. These results can be printed as follows: To print the test information: Select Request , Realtime monitor, Print To specify a range to print, enter a Start and a Finish line number To pause and resume printing, select Monitor Start/Pause button Close the window This is not a chartable report. It can be used for internal purposes, for record keeping or as an audit trail.2Specify Date Range To specify a range to print, enter a Start and a Finish line number. Select Next to continue.To specify a range to print, enter a Start and a Finish line number.3Pause and Resume Printing To pause and resume printing, select Monitor Start/Pause button. Select Next to continue.To pause and resume printing, select Monitor Start/Pause button.4Close the window Select Close. Select Next to continue.Close the window Select Next to continue.5Printing a chartable patient result from the Review/Edit window Patient Results can also be printed from the Review/Edit screen as a chartable report. This means printing results from one patient sample at a time. Modifications to these settings may be performed with the help of a technical support representative.When complete, select the X in the upper- right corner to close the window and continue.Patient Results can also be printed from the Review/Edit screen as a chartable report. This means printing results from one patient sample at a time. Additional flags associated with patient results may be observed based on the following software settings: Critical Ranges  Indices Ratios Automatic Dilutions and Reruns These settings are programmed in the system by a Siemens support personnel according to customer specifications. Modifications to these parameters require a higher level password and the involvement of a Siemens technical support representative. Select Next to continue. Most results will not require extra investigating. However, occasionally, a patient result may be flagged. Select Next to continue. Flags fall into two main categories: Sample Status Related - Providing information on sample and reagent status Action Required - Corrective action required based on further assessment of the patient results Download and print a PDF of other possible Result Flags on the ADVIA® 1800 Chemistry System. Patient Results Flags Learn about some of the flags associated with patient results. Tab TitleTextSample Status Related Flags Sample Status Related Flags R Test result is a rerun * Variance or imprecision during sample analysis r  Insufficient reagent during analysis u, d, U, D Abnormal reaction absorbance when associated with patient results s Insufficient sample volume in the cup ISE Related Flags d, D Dilute Factor error d Reference Electrode voltage is less than 500 Note: Refer to the online Operator Guide for more information on these flags and possible others. Enlist the help of a Siemens technical representative in case further information is required.   Action Required Flags These flags require an assessment to be made before data is released if a quantitative test is performed. Action Required Flags /// Calculation error /// Failed calibration curve h, l Results exceed expected  range H, L Results exceed "Abnormal" range ( upper and lower limits) J, k Calibration range flags /// indicate the result is outside the linear range of the test. It does not automatically imply a low or a high result. The software can be configured to rerun the sample based on the j or k flag associated with the ///. /// marks can also appear when the system is asked to generate results off of a failed calibration curve. Note: Refer to the online Operator Guide for more information on these flags and possible others. Enlist the help of a Siemens technical representative if necessary in order to better manage these flagged patient results. When complete, select the X in the upper-right corner to close the window and continue.