SmartZone

NEW GOLIVE DATE: February 4th, 2019

SmartZone is a decision support tool for clinicians. It provides referential information and noncritical notifications in a manner that does not disrupt your workflow, allowing you to view these patient-specific items and take action on them as needed.

SmartZone displays the following information:

Passive notifications that do not require immediate action
Patient-specific referential information
Information or notifications that are present when you initially open the chart or refresh it

View of PowerChart with SmartZone notification:

Can be collapsed by selecting Hide>.

Note: smaller screens will default to the collapsed view

Current SmartZone Content:

ASP Workflow:

1) Notification when preliminary/final susceptibility results are available

2) Notification when a patient has been on a Restricted antibiotic for more than 48 hours

Ideally, de-escalation would occur at this time, and would prevent the 72 hour alert from firing

and slowing your workflow

SmartZone: a decision support tool for clinicians that provides referential information and non-critical notifications in a manner that does not disrupt your workflow, allowing you to view these patient-relevant items and take action on them as needed.

Alerts for Antimicrobial Stewardship Program:

Susceptibility results available (shown above): This alert will populate in SmartZone as an information-only alert when a new susceptibility result is available in the Microbiology Viewer in PowerChart.

Level II Restricted Antibiotic Active for at least 48 hours: This alert will show in SmartZone at 48 hours after the initial administration of a Level II antibiotic if there is no gap in therapy of greater than 28 hours. The alert below will state the name of the antibiotic that meets the criteria instead of just saying “Level II antibiotic.”

Level II Restricted Antibiotic Active for 72 hours: This alert will pop up in PowerChart when the provider attempts to close the chart if the patient has had a Level II antibiotic active for 72 hours after the initial administration if there is no gap in therapy of greater than 28 hours. A consult order will fire to pharmacy after the medication administration documentation at 72 hours so that pharmacy can evaluate the antibiotic therapies as well.

If they click the “Document” button, a PowerForm will open with options to document why this antibiotic should be continued.

Are you the primary provider that can assess the need for ___________?

No – suppresses the alert for that user for that antibiotic

Yes – move to the next question

Reason to continue abx

Results still pending – suppress alert for all users for all antibiotics for 24 hours

Results deem therapy necessary – suppress alert for all users for that specific antibiotic

Do not wish to narrow therapy at this time – suppress alert for that user for that antibiotic

SmartZone: Coming Soon

SmartZone: Alerts for Antimicrobial Stewardship