DrYang.org was created to help medical staff complete their work more
efficiently by eliminating the work of retyping medication lists and labs. It
has since evolved to include tools that aid clinical decision-making by
calculating values such as reticulocyte index, FeNa, corrected Ca, and anion
gap. Furthermore, it can essentially function as the main page/portal for people
working in the hospital, containing organized, direct links to the most utilized
websites and forms.
Usage
DrYang.org can help streamline most of the computer work done throughout the
day:
These task-related usages will be first be addressed, then the general use of
the buttons and menu bar at the top of the screen will be discussed.
Updating medication lists
1. Access the online medication record by clicking the picture of the pill
in cView or
the "Meds Profile" link in PCIMS/PIP2. Alternatively, if you want to generate a
plain language medication list, you can also apply the directions below to a
dictated or typed medication list in a note.
2. (optional) Click on "Drug name" to alphabetize the medication list.
3. Click and drag to highlight the entire medication list.
4. Press Ctrl and C to copy the medication list.
5. Go to DrYang.org and paste the list into the blank text field by pressing
Ctrl and V.
6. Press one of the "Meds" buttons to convert the medication list to a format of
your choosing.
"Meds" converts the list to a format that includes start and stop dates of
medications.
"Meds (no dates)" converts the list to a format without dates
"Meds (plain language)" converts the list to a format in plain language,
such as saying "by mouth twice a day" rather than "PO BID." This is
particularly useful when generating medication lists for patients or families.
Notably, this button can also convert most dictated medication lists into
plain language, which aids in medication reconciliation.
7. Select the entire new medication list by pressing Ctrl and A or clicking
and dragging with your mouse.
8. Copy the new medication list by pressing Ctrl and C.
9. Paste the medication list in your signout, note, or other area by pressing
Ctrl and V.
Discharging patients
DrYang.org can aid discharge/transfer of patients by:
generating discharge documentation, medication lists, and instructions
helping you find contact information for outpatient providers
In areas such as the Obs unit, you can use the "Meds (plain language)"
function to generate a medication list that can be used for the prescriptions on
the discharge form. This will help your patients better understand their
discharge medication list. At Santa Monica, rather than manually rewriting all
of their discharge medications on the instruction sheet, you can paste the plain
language medication list into a Discharge Medications Word document that you
print out and attach to their other discharge paperwork. This has the benefit of
being legible and saving you time spent on recopying their medications. Refer to
the medication instructions above.
In order to find contact information for outpatient
providers to CC discharge notes or list follow-up directions, refer to the
following resources:
Under the Paging tab, "UCLA directory" contains phone numbers, email
addresses, and practice locations for UCLA-affiliated providers
Under the Reference tab, non-UCLA physicians can be found with the AMA
DoctorFinder, California medical license lookup, and NPI lookup.
NPI lookup is the generally the most helpful resource to try first since
it provides full name, address, and phone/fax numbers in a format that is
very easy to copy and paste into documents. However, some providers still
have not obtained NPI numbers.
California medical license lookup is the next best resource since any
licensed physician practicing in California will have a record on file
there.
AMA DoctorFinder, particularly their "sounds-like" function, can be used
when providers cannot be found with the above tools.
Search engines such as Google can be used as well and are particularly
helpful when the only reliable information you have is a phone number. For
example, sometimes names are spelled incorrectly and not corrected before
notes are signed, but the phone numbers are generally accurate.
Copying labs
Retyping/copying labs into notes is a tedious, time-consuming, and
error-prone process. DrYang.org can help minimize the need to retype most labs.
See this page for the complete list of supported labs--more labs than you would
expect are supported, including cultures and antibiotic sensitivities.
1. Open up the patient's lab results list. In cView, accessing one of the
"Lab Summary" tabs (24H, 72H, or 30 day) is usually best. In PCIMS/PIP2, "All
Results" is best.
2. Click and drag to highlight the labs you want to be cleaned up. Take care to
not select multiple result for the same lab; otherwise, if you highlight two
glucoses, for example, only the first one will be processed.
3. Press Ctrl and C to copy the list.
4. Go to DrYang.org and paste the list into the blank text field by pressing
Ctrl and V.
5. Press "Clean Labs" to clean up the list. If you want to process urine labs,
including urinalysis and urine lytes, you will need to press "Urine Labs."
6. Edit the list of labs as you wish for formatting purposes.
7. Select the entire list of labs by pressing Ctrl and A or clicking and
dragging with your mouse.
8.Copy the new medication list by pressing Ctrl and C.
9. Paste the list of labs in your note, signout, or other area by pressing Ctrl
and V.
This could potentially be used to speed up pre-rounding if you copied labs
into an extra field on your signout, such as at the end of your problem list,
rather than writing them down manually.
Consider not listing all labs in your dictations since you can easily
insert the full lab list when you edit the document.
Editing notes/H&Ps
Because the cost of transcribing dictations is related to the number of lines
in the document, is is difficult to have the transcriptionists format your
dictations with lists, even when it would be more readable. In particular, this
is a problem with numbered lists, such as those found in Past Medical History
and Past Surgical History, as well as sections with categories, such as Review
of Systems and Physical Exam. The H&P button will help you reformat your
notes/dictations to a more readable format. It performs the following functions:
Converts paragraphs of numbered statements into numbered lists. For
example, "1. Text. 2. Text. 3. Text." will now become:
1. Text
2. Text
3. Text
This is performed for only numbers up to 30 to minimize inappropriate
formatting changes.
Converts the most common systems in Review of Systems and Physical Exam
into list format. Many dictations were reviewed to generate the algorithm
used, and most systems should be supported. For example, the categories
Cardiovascular, Heart, Cardiac, CVS, CV, and Cardiovascular System are all
recognized equally.
Standardizes the format of units, routes, and frequencies found in
medication lists.
1. Open up the document you want to process in cView, PCIMS, or PIP2.
2. Click and drag to highlight the area of the document you want to be cleaned
up.
3. Press Ctrl and C to copy the text.
4. Go to DrYang.org and paste the text into the blank text field by pressing
Ctrl and V.
5. Press "H&P" to clean up the text.
6. Select new text by pressing Ctrl and A or clicking and dragging with your
mouse.
7. Copy the text by pressing Ctrl and C.
8. Paste the text back in to the note editing field by pressing Ctrl and V.
Accessing medical records, resources, and forms
DrYang.org gives you one-click access to almost every website or system that
you would need to get work done. In addition, it provides one-click access to
most of the commonly-used forms without the need to tediously log in to Forms
Portal. See the Menu Bar section for more details.
The Menu Bar
The Menu Bar was created to provide fast, organized access to almost every
website, system, or document needed. Lists will appear automatically when the
mouse pointer hovers over them; there is no need to click until you wish to open
up a page or form. Most of the tabs are, however, configured to link to a page
if they are clicked. This list summarizes the organization and functionality by
category:
Utilities: the most important sites needed
for medical records, signout, and discharge.
cView, PCIMS, PIP2, CDS, Signout, and online discharge forms.
Med links
Amion, Mednet, Medres, New England Journal, Outpatient Signout, Reverse Proxy
- Secure Web, Verinform.
Paging: resources needed
to contact other medical providers
Text paging, UCLA phone number list, UCLA directory
You can edit the phone number list to contribute. Click "Edit this
page," type in the entry, and click "Save."
Reference: medical references to aid
decision-making and finding other providers
UpToDate, Micromedex, Lab/Formulary, AMA DoctorFinder, CA med license lookup,
NPI lookup, UCLA insurance codes, Adjuvant Online, NCCN guidelines, Dermatology
glossary, EKG reference, MDCalc, Medcalc, PO/IV conversion.
Lab/Formulary contains information about labs and medications available
at UCLA. This is particularly helpful for finding what labs are available at
UCLA, the test numbers for uncommon labs, and what their turnaround times
are.
AMA DoctorFinder, CA med license lookup, and NPI lookup are helpful for
finding contact information for physicians, as described
above.
UCLA insurance codes helps you decipher the insurance codes used on
patient labels.
MDCalc and Medcalc help perform online calculations for many common
medical equations.
Forms: almost all of the forms routinely used
These are organized alphabetically, with subcategories for common form types
such as admission orders and consents. Clicking the main tab will take you to
Forms Portal.
Search: search engines & Wikipedia
Bing, Google, Yahoo, Wikipedia.
Mail: webmail sites
Mednet, Bruin OnLine, GMail, Hotmail, Yahoo mail.
Links: links to other miscellaneous sites
NYTimes, Craigslist, ESPN, Facebook, Google Docs, Google Maps, Stock quotes,
WFAN, Weather, Yelp, Youtube, Zap2It TV listings.
Donate: a link to Paypal where you can donate
support DrYang.org
Any support is greatly appreciated--over 150 hours of work have gone into
creating DrYang.org, in addition to the monthly webhosting costs. Just a credit
card is needed to donate; a Paypal account is not required. The email address is
for John Yang, which is correct--he is my brother and the owner of the Paypal
account that is being used.
Help: contains information to help you use
the site
Help page, list of supported labs, list of sample labs that can be inputted
to try out the site, bug reporting/feature requests.
in cView or
the "Meds Profile" link in PCIMS/PIP2. Alternatively, if you want to generate a
plain language medication list, you can also apply the directions below to a
dictated or typed medication list in a note.
