PPIP Current Patient Visit- Iteration 2 - UCalgary CME/CPD Online Learning

Data Entries

Entry ID	Yes, and it’s documented	No, and it’s documented	Yes, but it’s not documented	No, but it’s not documented	Partially documented	Unknown
Entry ID	Yes, and it’s documented	No, and it’s documented	Yes, but it’s not documented	No, but it’s not documented	Partially documented	Unknown

Documented entries:
( TOTAL_DOCUMENTED / QUESTIONS)*100% = %

Opportunity to find practice gaps:
( TOTAL_NOT_DOCUMENTED / QUESTIONS)*100% = %

See below to find which questions can give you insights about choosing your opportunity for your PPIP activity

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Does the patient have any relevant past medical history to the issue?

Is the patient on any prescribed medications?

Does the patient have any allergies?

Does the patient have any current prescribed medications?

Was a template used to document this visit?

Is the history for this visit/admission clearly known (onset & duration, aggravating or relieving factors, pertinent positives and negatives)?

Are the physical examination findings for this visit/admission known (vital signs, pertinent positives and negatives)?

Is the assessed diagnosis recorded?

There is a presumed working diagnosis

Are the investigations including lab and DI tests recorded?

Is the management plan recorded including drug and non-drug interventions?

Is the patient follow-up plan explicitly recorded?

Abnormal lab and DI results are documented and followed up?