BROWN-FOLSE PACS, LLC

Frequently asked questions

BRIT RIS Users Answers:

 

bullet

What is the difference in PRIMARY PHYSICIAN and REFERRING PHYSICIAN?

bullet

Why when I search for a patient sometimes they don't show up?

bullet

How do I create a defined search and make it my default?

bullet

Where can I delete or change a defined search

bullet

Where can I change my password?

bullet

How do I use MATCH, MOVE or MERGE to fix problems?

bullet

How can I look at patient images on BRIT?

What is the difference in PRIMARY PHYSICIAN and REFERRING PHYSICIAN?

When a new patient is entered their PRIMARY or family physician is entered in the patient information.  IMPORTANT: If you do not have this information, do NOT enter the ordering physician (such as the doctor working the ER).  The patient's primary or family physician can be entered later by using the  EDIT PATIENT function.

The REFERRING physician is the doctor that ordered or sent the patient for the exam you are to do.  This is required as an order for an x-ray is just like a prescription for medicine.  If the doctor that made the order is new and not in your system you will need to contact your PACS Administrator to enter them.  It is NOT acceptable to just put any doctor on an order.

Remember that AUTOFAX is going to send a report to both the PRIMARY and REFERRING physician as well as the patient location.  These numbers are set up in the USERS managed by your PACS Administrator
 

Why when I search for a patient sometimes they don't show up?

You search by typing information on the PATIENT PANEL at the top of the page.  The best field is usually the last name, only use one field to search. 

If the search isn't EXACTLY as the patient was entered into the RIS, it will not bring it up.  Try typing in the patient's last name with no comma.  If the last name was put in with a JR it wouldn't be found if not put in exactly the same as originally entered. 

If you can't find your patient by last name, try the first name only.  Some times there is a typo in the last name and this will bring your patient up.   It is important if this is the case that you correct any errors BEFORE putting in your order.

 

How do I create a defined SEARCH and make it my default?

Sometimes you can save time if you can search for a group of patients by their STATUS.  Say you want to see all patients that are done today, or all that have not been read or just the ones that need to be VERIFIED.  A DEFAULT SEARCH is one that comes up first when you log in, you can select others from the drop-down box to change your SEARCH.

This example will be for all patients UNREAD TODAY.   You will change parameters to taylor your search for your needs:

  1. On the PATIENT PANEL click on the SEARCH button at the top of the page

  2. On the left side about 1/3 down there are three tabs, STUDIES, ORDERS, SCHEDULED. Click the STUDIES tab  go to the STATUS box and double click on all status that are UNREAD (ARRIVED, CRITICAL, EXAMINED, INCOMPLETE, ORDERED, PENDINGARRIVE, UNMATCHED and VERIFIED)

  3. At the top of the STUDIES area go to the drop down box to the right of STUDY DATE and select TODAY

  4. At the very top of the page go to SAVE AS and name it ALL UNREAD TODAY. 

  5. If you'd like this to be what comes up every time you log in you will select the DEFAULT option.

  6. Click SAVE and then click OK to finish your task.

Note: You will define other SEARCHes the same way, defining what you want to look for and can save it with a title that will identify it for you.  This can be done for any of the three tabs: STUDIES, ORDERS, SCHEDULED so be sure you know which one you want

 

Where can I delete or change a defined search?

On the PATIENT PANEL all the way to the right, you may have to move the blue bar to see it, there is a PROFILE button.  Here you can delete searches, change your DEFAULT search and change your password.

 

Where can I change my password?

On the PATIENT PANEL all the way to the right, you may have to move the blue bar to see it, there is a PROFILE button.  Here you can delete searches, change your DEFAULT search and change your password.

 

How do I use MATCH, MOVE or MERGE to fix problems?

MATCH is used when the order (megaphone) and study (camera) are on different lines in the same patient folder because the accession numbers do not match.  Matching them will get the order and study together and can be done before or after an exam is read.  Just be sure that if you are matching before it is read that the order information is the information that is unchanged.

  1. Click on the camera that is to be matched and it will highlight

  2. Right click and select MATCH WITH ORDER in the drop down box.  (if it is not lit up, you are not authroized to MATCH)

  3. This will take you to MATCH STUDY WITH ORDER PANEL.  At the top there is a list of possible matches, the first being the most likely choise.

  4. In the COMPARISON box check to be sure this is the order that you want your study matched to.

  5. If it is then click MATCH at the top of the page.

This can also be accomplished by EDIT STUDY when you right click and changing the accession number to the same accession number as the order.  BE SURE that you change the STUDY and not the ORDER.

MOVE can be used to move a COMPLETE order and study from one patient to another.  IMPORTANT: this does NOT change the patient information on the study, it will still have the name it had originally.  If this is acceptable (because the patients had the same name) you can continue but if not it will need to be QC'ed. 

You will NEVER move an order that is not COMPLETE, this will change the information on the order and PowerScribe will NOT allow this.  You would need to enter a new order on the correct patient for an exam that has not been read so that PowerScribe will have all the correct informatin.

To move a COMPLETED order:

  1. Select the COMPLETE order to highlight, right clicking on the order and click MOVE ORDER in the drop down box, this will take the ORDER and STUDY together

  2. There will be a panel on the left with the original patient information and a search box on the right.  Enter the patient you want to move to.

  3. Select the correct patient in the search results and then click MOVE at the top.

  4. You will get an ARE YOU SURE box, if you are sure click OK.

You can move a STUDY by it's self either within a patient's folder or to another folder.  Sometimes this works when MATCH will not.  Remember that moving a study will NOT change any of the DICOM header such as the name on the images.  To do that it would have to be QC'd

  1. Within the patient's folder highlight the study to be moved

  2. Right click on the study and select MOVE STUDY in the drop down box

  3. In the search panel type the patient that you want to move to, if it's the same patient enter that

  4. Select the patient you want in the search results and open their folder

  5. Select the order you want to move to and click MOVE

  6. You will get an ARE YOU SURE box, if you are sure click OK.

MERGE is used when a patient has two separate folders that need to be combined.  Please be SURE that you want to MERGE by checking DOB, etc before proceeding:

  1. Select the patient folder that has the wrong patient ID and merge to the ID with the number you want to keep

  2. Right click on the bad number folder and go to MERGE PATIENT in the drop down box.  The patient information show in the pane on the left side of the screen and there will be a search area on the right. 

  3. Type in the patient information you will MERGE to and select the correct patient result box to highlight in blue.

  4. Click on MERGE at the top.  This will bring up both patient records under PATIENT ONE and PATIENT TWO.  Look at this information and verify that all is correct.  You can have some information from both patients by selecting the "radio button" by information that you want for the final folder.

  5. SAVE your MERGE at the top of the page and there will be a ARE YOU SURE box, if you are sure click OK

 

How can I look at patient images on BRIT?

The BRIT ROENTGEN RIS is your Radiology Information System.  It contains patients, orders, exams and reports.  To view images you must go to the BRIT VIEWING WORKBENCH application.  Look at the bottom of your computer screen and you will see the two different programs running. 

  1. First you must download the images from the server to your workstation.  You do this in the RIS (green lightening bolt) by finding your patient, highlighting the exam you want to see and click DOWNLOAD at the top.

  2. When the exam is downloaded it will be in the VIEWING WORKBENCH which will automatically come up when the images get there.  It may take a while for all the images to download, depending on how many there are and how fast your connection is.

  3. If you need to find a patient or exam previously downloaded click on PATIENT LIST at the very top of the VIEWING WORKBENCH, select your patient and select exam you want to view at the bottom and then on the right, VIEW SELECTED.  If you want to see all, click VIEW ALL.

  4. You can FORMAT VIEWS or FORMAT IMAGES from here to see all or double click on a specific image and scroll through with your mouse.

  5. It is a good idea to CLOSE ALL when you are finished so that these images don't slow up your functions by taking up too much RAM.