Working with reports. Philips HeartStart Event Review Pro
Below you will find brief information for HeartStart Event Review Pro. HeartStart Event Review Pro captures, reports, and manages cardiac arrest information. The software has tools for collecting and analyzing information, reviewing cases, identifying trends, and evaluating the emergency response. All information relating to a specific cardiac emergency is created in a case by downloading ECG information, shock decisions, and recorded audio from Philips and Laerdal automated external defibrillators (AED). HeartStart Event Review Pro also allows users to annotate case details.
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Working with reports
Use reports to evaluate the timeliness of, effectiveness of, and trends in your emergency system response. You can generate a report for an open case or directly from the database.
The first step in working with reports is to create a case. Event Review Pro generates the report from the case information.
In Reports, you can also do the following tasks:
• Preview the report as you specify report details
• Print the report
• Export the report
To set up and manage reports, click the Reports navigation button. On the Reports navigation pane and workspace, the available reports appear. They are based on your installation. They can appear in the following categories:
Category
Case
ECG
Based on
Information on the tabs in Cases
ECG strip on the ECG tab in Cases
Q-CPR
Vital Trends
Quality of CPR
Vital trends information that appears on the ECG tab in Cases
(EMS Edition only) Response times Emergency response times
(EMS Edition only) Utstein Utstein guidelines for reporting on aggregated out-of-hospital cardiac arrests
The workspace provides features to set up, generate, and distribute reports. For more information, see
.
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Generating reports
You can generate a report for an open case or for a case that is stored in the database. In either case, you use the same steps to generate the reports.
Above the preview of the report, the appropriate parameter settings appear. The default parameter settings appear as selected. You can select or clear the field.
If you select information from a drop-down list, your choice persists the next time you use the field. At that time, you can select another value.
Remember that if you import a redacted case, in any report that includes that case, Event Review Pro replaces the name and patient ID with a series of asterisks. If the redacted age of the patient is greater than 90, the Date of Birth field is blank and the Age field displays 90.
Generating a report for an open case
You can generate a report for an open case on the File menu and toolbar.
To generate a report for an open case
1.
Open the case in the Cases workspace. For more information, see
Displaying case details on page .
2.
On the File menu or toolbar, click Print, and then click Reports.
3.
Click the type of report that you want to generate.
The Report Preview window opens.
4.
While you preview the report, you can use the Report Preview fields and toolbar to customize the report. For more information, see
Using the Reports toolbar on page .
.
5.
If you want to add extra reports to this report, check their boxes. These reports may include extra customizable parameters that you can change.
6.
On the Report Preview toolbar, use a toolbar button to print the report, locate information, export the report, or email the report. For more information, see
.
Generating a report from the database
Use Reports to generate a report for a case saved in the database.
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To generate a report from the database
1.
Click the Reports navigation button.
The Reports navigation pane opens.
2.
Double-click the type of report that you want to generate.
On the workspace,above the report preview, you see parameter settings that you can use to specify the report format and details.
3.
Depending on the report, do one of the following on the Filter tab: a. Click the case from the table and click Select.
b. Set the filter criteria, and then click Select.
4.
Depending on the report, click a customization tab.
A preview of the report as you set and change the parameter settings.
5.
Complete one or more parameter settings to specify the information that the report displays.
6.
To print the report, use one of the following Report Preview toolbar buttons:
• Click Print to print the report on the printer of your choice.
• Click Quick Print to print the report on your default printer.
For more information, see
7.
To generate an export file, click Export To on the Report Preview toolbar. For more information, see
.
8.
To email the report, click E-mail As on the Report Preview toolbar. For more information, see the previous step and
.
Using the Reports toolbar
The following table provides a description of the toolbar buttons on the Reports workspace and Reports Preview window.
Button Description
Click Print or press C
TRL
+P to select a printer, number of copies, or other printing options before printing.
Click Quick Print to send the document directly to the default printer without making changes.
Click Find to find text in the document based on your entry in the Find what field and Search options.
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Button Description
Click First Page or press C
TRL
+H
OME to navigate to the first page of the document.
Click Previous Page or pressP
AGE
U
P to navigate to the previous page of the document.
Click NextPage or press P
AGE
D
OWN to navigate to the next page of the document.
Click Last Page or press C
TRL
+E
ND to navigate to the last page of the document.
Click Mouse Pointer to show the mouse pointer.
Click Magnifier to display the full page. Click Magnifier again to zoom to a 100% view of the report page.
Click Many Pages to select the page layout and to arrange the document pages in preview.
Click Zoom Out to see more of the page at a reduced size.
Click Zoom to change the zoom level of the document preview.
Click Zoom In to get a close-up view of the document.
Click Export To to export the document in one of the available formats, and save it to a file on a disk. A window to specify parameter settings for the export file appears.
Click Email As to export the document in one of the available formats, and attach it to the email.
Working with case reports
Case reports include detailed case information based on the information collected on the tabs in Cases. The type of report determines the parameter settings you can specify.
You can generate the reports in the Cases category when a case is open. For information on how to generate a report, see
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After you have generated the report preview, you can choose to append all the available case reports in one report, rather than printing each one separately. On the
Case Customization tab, check all the reports that you want to include. Then, on the tab for each of these reports, select the parameter settings you want to include in the report.
For more information, see the following topics:
•
•
•
Working with ECG reports
ECG reports are based on the ECG strip on the ECG tab in Cases. See
Working with reports on page .
ECG Full Disclosure
The ECG Full Disclosure report includes the entire ECG.
The report uses the following parameter settings:
• Case (required)
• Change the scale of the waveform
• Grid
• Events
• Notes
• Beat labels
• Selected channels
Dashes in the report indicate periods during the report when there is no waveform data.
Pre- and Post-shock
The Pre- and Post-shock report documents the ECG segments surrounding each shock event.
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The ECG recording begins the presenting rhythm (Presenting seconds) at the start of the ECG, rather than at the time that the defibrillator was turned on.
The report uses the following parameter settings:
• Case (required)
• Change the scale of the waveform
• Grid
• Events
• Notes
• Beat labels
• Selected channels
• Presenting seconds
• Closing seconds
• Preshock seconds
• Postshock seconds
Working with Q-CPR reports
The Q-CPR report card is based on the quality of the CPR that a patient received during the episode. The report uses the information that appears on the ECG tab.
You can create a report card based on the CPR results from multiple cases; each report appears in a separate file.
You can choose whether to display the results in millimeters or inches.
You do not have to select parameter settings, and you can choose to exclude ventilation data from the report. See
Working with reports on page .
The report displays the following information:
• Case ID and patient information
• Episode summary information
• Episode length
• Number of shocks
• Device on and off times
• Ventilation data
• Total number of ventilations
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• Total ventilation times before and after intubation
• Average ventilation rate before and after intubation
• No-flow time:
• Flow time
• Average no-flow time before and after shocks
• Use 30 sec. intervals
• Defibrillation data
• Time power was on until the first shock
• Total and average analysis and shock delivery times
• Graphic representation of the quality of CPR for the episode (maximum 30 minutes from the start of the compression waveform))
Working with Q-CPR Details reports
You can see details on all the Q-CPR items that are summarized on the Q-
CPR report card and export this report to a spreadsheet. You can also compile details for multiple cases and display them in the same report or in separate reports.
To see what data is included in this report, see
When you have generated the details report (see
), you can customize the display.
• If you want to show details before and after intubation, in the Extended
Statistics section, check Split by Intubation.
• If you want to change the intervals, click either No interval, Use 30-Sec
Interval, or Use 60-Sec Interval.
Q-CPR report data
This section provides a description of the Q-CPR data that appear in the Q-CPR
Details report.
You can create a report that includes data from multiple cases; the report can be in one file, with the results separated by case, or in separate reports.
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Q-CPR statistic section data label table
Statistic label Description
Type The time period for the data: Episode, Period, or Interval
Start The start time of the statistics coverage, in milliseconds from one second before the first compression event.
Length
NFT
NFT %
FT
The length of the statistics covered time (up to one second after the last compression event ), in milliseconds.
The no-flow time (NFT), in milliseconds.
The no-flow time ratio. NFT divided by length, expressed in percent.
The flow time (FT), in milliseconds. It is defined as the length of the statistic minus the NFT, in milliseconds.
FT % The FT ratio. FT divided by the length, expressed in percent.
Compression section data label table
Statistic label
Comp
Comp Adequate
Correct
Deep
Shallow
Depth
Leaning
Rate
Duty Cycle
Adeq %
Description
The total number of compressions.
The total number of compressions that are performed with adequate depth, or are not too shallow
The total number of compressions that are not too shallow or are not leaning.
The number of compressions that are too deep.
The number of compressions that are too shallow.
The average depth of compression, in millimeters or inches
The number of compressions with incomplete release.
The average compression rate, per minute. The rate is computed over the active compression time. The time without compression activities is excluded.
The compression duty cycle.
The ratio of adequate count to total count.
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Ventilation section data label table
Statistic label Description
Vent The total number of ventilations.
Vent Rate The average ventilation rate, per minute. If the statistics are divided into pre- and post-intubation periods, the ventilation rate is for the specific preintubation and postintubation period. If not, the ventilation rate is for the entire episode.
No Sign of Circulation (NSC) section data label table
Statistic label Description
NSC The total NSC time, in milliseconds.
Comp The average compression rate during the NSC time.
NFT/NSC The ratio of No-Flow Time (NFT) to NSC.
Working with Vital Trends reports
The Vital Trends report provides case information based on the vital trends information that appears on the ECG tab. The information appears in a table format.
The report displays the following information:
• Case ID, device, and patient information
• Vital trends in a table format
The report uses the interval parameter setting. An interval can be 1, 5, 10, 15, 30, or
60 minutes in duration.
Working with Response Times reports
The EMS edition provides Response Times reports.
These reports provide uniform records of your information from out-of-hospital cardiac arrests. They follow the recommendations of the Utstein Consensus
Conferences for collecting, summarizing, and reporting response-time information.
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You can generate Response Times reports to assess your system’s overall response performance and compare performance with service-level commitments.
The type of report determines the parameter settings you can specify. For information on how to generate a report, see
Event Review Pro saves the parameter settings and displays them the next time you select the report. You can select or clear any of these fields.
If you import a redacted case, Event Review Pro replaces the name and patient
ID with a series of asterisks. If the redacted age of the patient is greater than
90, the Date of birth field is blank and the Age field shows 90.
Average Response Times – Total System
This report summarizes the average response times for key milestones in your system’s response protocols. You can specify the date range and site of collapse to limit the cases you want to summarize in the reports.
The report uses the following parameter settings:
• Start date
• End date
• Site of collapse
Percentile Response Times –Total System
This report summarizes response times achieved in a specific percentage of responses. You can specify the date range and site of collapse to limit the cases you want to summarize in the report. You must specify the percentile.
The report uses the following parameter settings:
• Start date
• End date
• Site of collapse
• Percentile (required, median is 50%)
Average Response Times
This report summarizes, for a specific unit, the average response times for key milestones in your response protocols. You can specify the date range and site of
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The report uses the following parameter settings:
• Start date
• End date
• Site of collapse
• Unit name
Percentile Response Times
This report summarizes, for a specific unit, the response times achieved in at least a specific percentage of responses. You can specify the date range and site of collapse to limit the cases you want to summarize in the report. You must specify the percentile.
The report uses the following parameter settings:
• Start date
• End date
• Site of collapse
• Unit
• Percentile (Required. The median is 50%.)
Working with Utstein reports
The EMS edition provides Utstein reports.
These reports follow the Utstein guidelines for reporting information on out-ofhospital cardiac arrests. They use the recommended terms and follow the Utstein template approach.
The type of report determines the parameter settings that you can specify. For information on how to generate a report, see
Event Review Pro saves the parameter settings and displays them the next time you select the report.
Unwitnessed with Bystander CPR
The Unwitnessed with Bystander CPR report summarizes the unwitnessed cardiac
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The report uses the following parameter settings:
• Start date
• End date
• Location
• Population served by EMS system
Witnessed with Bystander CPR
The Witnessed with Bystander CPR report summarizes witnessed cardiac arrest in which a bystander administered CPR.
The report uses the following parameter settings:
• Start date
• End date
• Location
• Population served by EMS system
Witnessed without Bystander CPR
The Witnessed without Bystander CPR report summarizes witnessed cardiac arrests in which no bystander administered CPR.
The report uses the following parameter settings:
• Start date
• End date
• Location
• Population served by EMS system
Printing reports
You can print a report for an open case or for a case that is stored in the database.
Before you print a report you must generate the report.
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To print a report for an open case
1.
From the open case, click File, then Print, then Reports, and then the report that you want to print.
2.
On the Customization tab, complete one or more parameter settings to specify the information that the report displays.
3.
Click one of the print options.
• Click Print to select a printer, number of copies, and other printing options.
When you have made these specifications, click Print.
• Click Quick Print to send the report directly to the default printer without making changes.
Exporting reports
You can export a report for an open case or for a case that is stored in the database.
Event Review Pro saves a copy of the report to a file outside of the database. You can then email the export file or add the export file to the case on the Attachments tab.
To export a case with the .
wfdb format, which is used by researchers for data analysis, use the Export option on the File menu or toolbar. For more information, see
http://www.physionet.org
for information on .
wfdb format.)
If you frequently review a report or want to track your system’s performance, generate the report, and then use the Export tool to save the report as a file. Sample reports include month-end, quarterly, and year-end reports.
To export a report
1.
Generate and view the report. For more information, see
2.
On the Report Preview toolbar, click Export To.
3.
Click the arrow and click the file format for the exported file.
A list of file formats that are appropriate for the type of report appears. Waveform data must be in PDF format.
4.
Complete the parameter settings for the file format and click OK.
The Save As window opens.
Navigate to a location where you want to save this report, or accept the default.
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5.
In the File name field, type a name for the report.
The Save as Type field lists the document type that you selected.
6.
Click Save.
7.
If you can open the file, click one of the following buttons:
• Click Yes to preview the file.
• Click No to continue.
Emailing reports
You can email the export file for a report the same way as you email a case.
You can use the E-mail-As option or your email application to send an exported report to another Event Review Pro user.
Email requires that you configure Microsoft Outlook or a MAPI-compliant email client, and an email profile. For more information, see
To email a report
1.
Generate and view the report. For more information, see
2.
On the Report Preview toolbar, click E-Mail As.
3.
Click the file format for the report. Waveforms must be in PDF format.
4.
Depending on the file format that you selected, complete the export options and click OK.
The Save As window opens.
Navigate to a location where you want to save this report, or accept the default.
5.
In the File name field, type a name for the report.
The Save as Type field lists the document type that you selected.
6.
Click Save.
Event Review Pro attaches the exported report file when it displays the email window. For more information, see
7.
Type the email address in the To field; type any addresses for copies in the Cc fields.
8.
Click Send.
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Key features
- Captures and reports cardiac arrest information
- Reviews cases and identifies trends
- Manages ECG information and monitoring data
- Annotates case details