User`s Manual - For SIGN Surgeons
Contents
1. Input Date 08 13 2007 SIGN purgeries Add another surgery Surgery 1 March 2 2003 Add a Fracture If you ever need to edit this information just click this link and you can change any or all of the information It is time now to add information to this case about the actual fracture being treated SIGN Database Training Manual ver 20100719 Page 10 of 20 SIGN Surgical Database Training Reporting Surgical Cases Add A Fracture So turn to page 3 of your Data Collection Sheet and click the Add a Fracture link just below the surgery link you just created Patient Name Bob Case Number 2007 004 Date of Injury 02 10 2003 Enter fracture information All fields ore regouired unless morked optional Optional select a code for this fracture Fracture Side Left Right Surgical Approach Location of Fracture Check All that Apply CUProximal CJ Middle J Distal segmental CJ Femoral Neck LJ intertrochanteric Type of Fracture Previous Implant Used ves Wo Method of reaming Fracture reduction Open Closed Comments If you like you can start by adding a code to this fracture Click the link to do so and select the appropriate code The value of these codes will be very easy to understand later when we look at the Search tool Now complete the rest of the information on the fract2. This document was designed to equip you with the knowledge needed to setup your hospital and begin reporting your SIGN surgical cases in the SIGN Surgical Database Both the database and the data collection sheets have been designed to work together to create a more comprehensive report of each surgical case While the data collection sheets serve as your hardcopy the database serves an electronic copy of that data and is designed to follow the flow of information as you have recorded it on your data collection sheets Keep your data collection sheets nearby so you can follow along with the training Each section of your data collection sheets has a corresponding screen in the database For example here is the first section of the data collection sheets and here is the database screen for entering this data Each field you have completed on your data collection sheet will appear in the database to record this same data item PATIENT CASE INFORMATION All fields are required unless otherwise noted Hospital Name Case Number optional Age Injury Date Optional Patient Contact Information This information will be available only to the applicable hospital Address Email Address Note Weight is only required for pediatric patients and will be entered on the Fracture page as a trigger for other questions and data entry options Enter patient case information a TT ce J J L J J j L J All fields are required unless marked optio
3. Training Manual ver 20100719 Page 4 of 20 SIGN Surgical Database Training To add a surgeon to your surgeons list click the Add a new surgeon link Enter a surgeon s name and email address These are required fields so if the surgeon does not have an email address please enter None Next select the Add a New Surgeon hospital name for which this Name surgeon will be Email associated If you P are managing one aes hospital the Surgeon Activation Date name of your hospital will always appear for you If you are managing more than one hospital use the drop down menu to select the hospital name The surgeon activation date is a tool for you to keep track of when a surgeon joined your team When you have completed this information click Save After the system saves your entry you ne will be returned to the Surgeons page Sul BeOS The surgeon you just added will appear Add a new surgeon Search for a surgeon in the list You can now sort your list of surgeons by clicking on any of the column headings Results 1 3 of 3 Name Email of name email hospital or activation date Click the column heading once to ee ETE sort in ascending order click it again to reverse the sort to descending order The small arrow shows you which column wilkkonddw hotmail cam you are sorting by Dr Smith demith yahoo com Dr Wilson You can Search for a surgeon to update by clicking on the Search for a
4. eee eee Surgical Codes Eaa a Bite lee Offline Data Entry Tab This feature is where you will find all resources for installation and use of the Offline Data Entry Tool ODET ese Oe elec ete eel ce Offline Data Entry ieee Research Tab This feature provides you with a comprehensive search tool design to help you retrieve a list of surgical cases that meet a specific set s of criteria which you define This tab will be discussed at the end of the training See Oe ee ee ee Ol wee Research Creating Your List of Surgeons Required Because you are required to enter the name of the surgeon in every case you report you must create your list of surgeons before reporting any cases but you can modify your list at any time The list of surgeons you create will only appear for your hospital To create your list of surgeons surgeons click the Surgeons tab Add a new surgeon Search for a surgeon The purpose of this page is to give you a place to add or delete names of surgeons that you would like to make available to use when reporting surgical cases Results 1 2 of 2 Mame Email Dr Smith demith yahoo com The surgeons you add to your list will appear in a dropdown menu on the Surgery page when you are reporting a case Thisis a valuable tool because you as the program manager now have complete control over how long your list of surgeons will be Dr Wilson wikoandAwhotmail cam SIGN Database
5. surgeon link Enter any part of the information and click search The results of your search will appear at the bottom of the page Click Cancel to return to the complete list You can edit a surgeon s information by clicking on their name then change their information and then click save You can also send an email to a surgeon by clicking on their email address Lastly you can delete a surgeon from your list by clicking the X symbol on the right side of the screen You will be prompted to confirm the deletion select Ok to delete this surgeon If a surgeon s name has been used in reporting a case and you try to SIGN Database Training Manual ver 20100719 Page 5 of 20 SIGN Surgical Database Training delete this surgeon you will see a warning Instructing you to go edit the cases by assigning a different surgeon s name In other words you cannot delete a surgeon if you have already used that surgeon s name in reporting a case Creating Your List of Surgical Codes Optional Note the function of these codes has for the most part been replaced by the Research Tab which allows you to create complex searches based on any data field in the database Think of surgical codes as a way of marking your cases so that you can group them together into like groups For instance if you wanted to see a list of all your cases that involved a broken ankle you could create a code called BA and then every time you enter a case where the patient had
6. 0 SIGN Surgical Database Training Now let s return to the case list page by clicking Return to surgical cases Notice now that our case has reappeared in the list but now has a red flag to indicate that something has changed on this record The purpose of this flag is to help the program manager know which cases have changed recently so that they can be reviewed and then flagged as complete Results 1 4 of 4 ca by BfHeadquarters Bf Headquarters Alternate EfNot yet reviewed fce e has changed since review Pays Input Date Patient Mame Injury Date Hospital Program anager Case Number EP i2 08 06 2007 Gregory Van Schnelling 01 01 2000 Healing Hospital Sia ae E 1 08 06 2007 06 23 2006 Heating Hospital 123 003 ay 0806 2007 Derek Dashung 03042004 Healing Hospital ZU0Y 123 To review this case click on the patient s name Then click on the data link to information marked as new in this case the follow up we just entered Review the follow up page and when complete click Save amp Continue When you have return to the Patient Case Information page click the Review Flag to mark this record as having been reviewed and then return to the surgical cases page Notice now that our case has once again been removed from our list of cases needing to be reviewed In the final part of our training will show you how to use the Research Tab Researchin
7. 004 Date of Injury 02 10 2003 Date of Surgery 04 18 2003 Enter followup information A peel eines E ee ere hy ee et ete Pe ene eae ALL meds gre regure AL marnm ed oOo Follow up Date April 03 v 2003 E Optional select a code for this followup Infection Incision of the wound Infection Depth Yes No yes C No Superficial Deep Duration of Infection 2 Partial weight bearing Painless full weight bearing Healing by x ray 2 weeks LI Osteomyelitis LJ amputation w Yes No yas Ona yeas Q No header area the date of surgery is now visible along with the other case information Enter the date this follow up occurred on and again this date must be after the date of injury and the date of surgery If you created a code in your Surgical Codes list and made it a Follow up code then it will appear in your code list here If you do not have any codes in your list that are designated for use with follow ups then the option to code the follow up will not be visible until you return to the Surgical Cases tab and add Follow up codes If there is deformity then please indicate the severity If there was a repeat surgery please indicate the reason for it and if it was for a non union then also include information shown here SIGN Database Training Manual ver 20100719 Page 16 of 20 SIGN Surgical Database Training You can now add any comments pertaining to this f
8. 100719 Page 9 of 20 SIGN Surgical Database Training As you can see have returned to this surgery and now have two codes available in my drop down list You can add as many codes to your surgery as are found inthe Surgical Code 1 drop down list It is also Diabetic D very easy to remove a code Infection Before Surgery tl by just clicking the remove link next to the code you wish to remove Femove this surge Now we will add a Surgeon to this case by using the drop down menu to select the appropriate surgeon As with codes you can add as many surgeons as you like Select Yes or No for Antibiotics used If you select yes you will see additional questions Enter the number of hours or days between the time of the injury and when the antibiotic was given the name of the antibiotic and the number of hours or days the antibiotic was used for Finally add any comments you wish that apply to the questions you have just answered and click Save amp Continue If you have answered all the questions you will be returned to the Patient Case Information page On it you will see that in addition to the case information there is also now a link to Surgery 1 and the date This is your link to the surgery information you just entered Patent Case Information view Edit Patient Name bob Hospital Healing Address Hospital Gender Age Male 45 Phone Case Number 2007 004 Injury Date 02 01 2003 Email
9. SIGN Surgical Database Training Manual i agoel oy gt G SIGN A Gu ee z An Welcome to SIGN s new Online Surgical Database X x A fm Surgical Database Login User Name _ Password Managers of active SIGN programs may log in having trouble logging in here to report surgical cases and case follow ups If you would like more information please see the About Sign link or visit our public website at wni sign post org In addition to using the Online Surgical Database for single case entry you can also use the Offline Data Entry Tool ODET to enter each case offline and then upload a batch of cases to the online database Your choices are With Internet Access If you have an internet connection at your computer you can upload individual case data directly from your computer into the online database or use the ODET for batch uploads of multiple cases SIGN Database Training Manual ver 20100719 OR Without Internet Access If you DO NOT have an internet connection at your computer you can use the ODET to prepare your data for offsite upload You can then log into the Online Database and batch upload all case data files into the database Instructions for use of the ODET are included in a separate document and are available on the Surgical Database website 7 19 10 SIGN Surgical Database Training Introduction Welcome to the SIGN Surgical Database training
10. Surgery Click the Add a surgery link You will notice that the patient name case number and date of injury all appear on the surgery page Enter the date of the surgery If you enter a surgery date that is before the date of injury you will see an alert message when you try to save this record Any time you make an error in data entry you will see a message similar to this one J ust return to the page you were working on and look for the text box pointing to the error Once you correct it you can save and continue Patient Name Bob Case Number 2007 004 Date of Injury 02 10 2003 Enter surgery information All fields are reguired unless marked optional surgery Date January 02 2003 Ml l Optional select a code for this surgery The page at hittp sign framestage com says Comments Next let s assign a code to this surgery from the list of codes we created earlier Click the link called Optional select a code for this surgery A new field will appear with a drop down menu select the code you wish to use If you need to add codes to your list you will need to return the Surgical Codes tab and add them there will exit adding this surgery and then add a new surgical code The new code will then appear in the drop down list when you return to add a surgery This is why it is important to setup your codes before entering case information SIGN Database Training Manual ver 20
11. U0 123 of the list Also note that to the left of the X ray column is the flag column Because you have not yet clicked the Flag as Complete button for this case it indicates Not yet Reviewed and stays in the new cases list seen here SIGN Database Training Manual ver 20100719 Page 13 of 20 SIGN Surgical Database Training Reporting Surgical Cases Review A Case Now lets return to this case and review it by clicking on the patient s name The patient information looks good but see that the date of the surgery is incorrect so will edit that date by clicking on Surgery 1 Patient Name bob Case Number 2007 004 Date of Injury 02 01 2003 Edit surgery information All Fields are required unless marked optional Surgery Date 2005 4 14 weeks since injury Surgical Code 1 Infection Before Surgery l remove Surgical Cade 2 Diabetic E e remove Notice that next to the Surgery Date there is now text indicating the time span between injury and surgery This is provided for your convenience so that at a glance you can see the time difference when reviewing cases When you review the follow up page you will see this again only it will show the time between surgery and follow up Click the date field to be changed and then scroll down and click Save amp Continue We return to the Patient Case Information page and can also review or edit the Fracture and Follow up information You could even add ano
12. a broken ankle you could mark that case with a BA code Surgical Codes Addanew surgicalcode Search fora surgical code Results 1 5 of 5 Code Description Type a aT 7 CC R Cn CT Edit fracture information All fields are required unless marked optional Surgical Code 1 Fracture Side Left O Right Surgical Approach Antegracde Humerus Unlike setting up surgeons setting up surgical codes is not a requirement for entering cases and you can modify your list of codes at any time Codes are simply a tool to help you retrieve cases in a meaningful way If you do not wish to use codes just ignore the Surgical Codes tab SIGN Database Training Manual ver 20100719 Page 6 of 20 SIGN Surgical Database Training Reporting Surgical Cases Click the Surgical Cases tab The case list will always appear sorted by Input Date so that the most recent cases are at the top You can however resort your case list by clicking any of the column headings At any time that you wish to return to the original sort order just click the refresh button on your browser HPP ays Input Date Patient Name Injury Date Hospital Program Manager Case Number EP 2 os foe s2007 Gregory Van Schnelling 01 01 2000 Healing Hospital 2007 001 5 E 0870672007 Justine Javier 0672312006 Heating Hosta 300 al 08 06 2007 Derek Dashung 03042004 Healing Hospital 2007 123 The database includes a method fo
13. ble to appear Please enter the quantity of screws used as appropriate Note here that you can only enter a quantity of up to 2 screws for Proximal and 2 screws for Distal If you enter higher numbers an alert will appear when you attempt to save the record Save amp Continue The last step in entering fracture information is to upload you PreOp and PostOp xray images You may do this at any time now or later To do this simply click the add an X ray Image to this fracture link Select bowse and then double cick on your x ray file in the File Upload window Use the dropdown menu to identify this x ray as either pre or post op Then enter the date it was taken Add a second x ray by repeating this procedure Please upload only x rays needed to clearly describe this fracture Do not add follow up x rays here You will learn how and where to do that later When you have uploaded all your x rays click Save amp Continue If you receive an error message return to the fracture page and correct the error in your data SIGN Database Training Manual ver 20100719 Page 12 of 20 SIGN Surgical Database Training If you have answered all the questions you will be returned to the Patient Case Information page On it you will see that in addition to the case information and the surgery information there is also now a link to Fracture 1 an icon indicating that there are x rays with this record and a description of the fracture This is your li
14. e was please enter an approximate date Address phone and email are optional fields Click the Save amp Continue button to save this case information Now you will see your case information in the Patient Case Information area You can always return to this page to edit this information by clicking the view edit link If you make changes use the Save amp Patient Case Information view eait Continue button if no changes have Patient Mame bob Hospital Healing ae sited you can cendo sce qwela E Hospital CHICK cancel OF USE Se f bine Return toca Injury Date 02 01 2003 Case Number 2007 004 information page Input Date 08 13 2007 SIGN Surgeries You have not entered any surgeries for this case Add a surgery Any time you leave a page like this and do not use the Save amp Continue button you will see this message alerting you that you are about to leave a page without saving the information If you change your mind and want use the Save amp Continue button click Cancel in the warning message otherwise click Ok The page at http sign framestage com says gt You are about to leave this page without saving your changes Do you want to continue Cancel Now that we have returned to the Patient Case Information page it is time to add the surgery information found on page 2 of your Data Collection Sheets SIGN Database Training Manual ver 20100719 Page 8 of 20 SIGN Surgical Database Training Add A
15. et of search criteria by setting the search category to Case Set the first search parameter to Age the second search parameter to Equals and the third search parameter to 33 Search Criteria 2 Now create your second set of search criteria by clicking add a search parameter Set the search category to Case Set the first search parameter to Gender and the second search parameter to Male Search Criteria 3 Finally create your third set of search criteria by clicking adda search parameter again This time we will set the search category to Surgery Set the first search parameter to Antibiotics Used and for the second search parameter check the N for no Now scroll down Search Cases and click the search button The results are oak Search Category shown at the oo bottom of the 3 Search Parameter Sa screen Each of these four cases met the criteria of our search equals DJ Dd lt i ee rik SEE on Search Category Case a ain an ga remove 7 A S Search Parameter combination o fields and field data from the data collection i sheet questions ae Search Category you can create whe ceo very customized Search Parameter Antibiotics Used w searches Oy in Use the Cancel button or the reset to all cases link to clear your search and start over or if you just want to remove one of your search criteria use the remove link found next to that criteria Please contact SIGN
16. g Surgical Cases The research tab was designed to provide SIGN surgeons with access to their SIGN surgeries for the purpose of writing research papers The research tool was built to retrieve a list of surgical cases that match a simple or complex set of search criteria that you design To use the research tool click on the Search Cases Research tab The search category field is designed to allow you to focus your research on any or all of the pages of your data collection sheets Use the drop down menu to see your choices Notice that the list of options matches the add a search parameter pages in the Data Collection Sheets e and the screens in the database search Parameter Case Surgery Fracture Follow SIGN Database Training Manual ver 20100719 Page 18 of 20 SIGN Surgical Database Training For this example we will limit our search to case information only Remember this is the information found on page one of your data collection sheets By changing the category to case the list of search parameters that are available matches the data fields on page 1 of the data collection sheets For example if we wanted to see a list of all male patients in the database we would select Gender as our search parameter and Male as our second level criteria Then click search Notice how the search results look different from the surgical cases page search results Case are now given a generic number and only the co
17. nal Hospital Name Hospital Sacre Coeur optional Case Number Patient Name Age Gender Date of Injury optional Address optional Phone optional Email ave ntinue SIGN Database Training Manual ver 20100719 Page 2 of 20 SIGN Surgical Database Training Logging Into The Database The database is accessible by using most current web browsers The address of the database is www sign surgery org At this web site you will see the following login screen Use your existing User Name and Welcome to SIGN s new Password to log into the Online Surgical Database User Name drbones database Your Program Password i Managers of active SIGN programs may log in Manager WI provi de you with here to report surgical cases and case having trouble loezina int your User Name a nd Password i follow ups If you would like more information please see the About Sign link After entering your Username or visit our public website at www sign post org and Password Click the Login button Note Only approved SIGN Program Managers are issued a username and password This login is Login Information specific to one hospital not to one person All Program cases entered with this login will be recorded to UserName the hospital for which this login information is Password assigned Setting Up Your Hospital When you have logged into the database you will first see
18. nk to the fracture information you just entered As you saw with surgery information this is how you return to edit fracture information or add more x rays Patent Case Information view Edit Patient Name bob Hospital Healing Address Hospital Gender Age Male 45 Phone Case Number 2007 004 Injury Date 027 0172003 Email Input Date 08 13 2007 SIGN purgeries Add another surgery surgery 1 March 2 2003 Fracture 1 1 x Ray Right Antegrade Humerus Middle Closed Add a followup Add a Fracture In the upper right corner you will now see a green button called Review Flag as Complete This button is what you will push if you wish to have this record hidden from the list on your Surgical Cases page Let me demonstrate We will return to the Surgical Cases page and verify that the case we just entered appears in our list of cases Notice that because this is the most recently added case and because it has x rays with it it now appears at the top Results 1 4 of 4 Reviewed by Bey Headquarters Bf Headquarters Alternate Finot yet reviewed Bq Case has changed since rewew Fays Input Date Fatient Name Injury Date Hospital Frogram Manager Case Humber a losnar bos ozonas Heating Hospital Or Bones 2007404 EP 2 08 06 2007 Gregory Van Schnelling 01701 2000 Healing Hospital 2007 001 a ee P ay 0806 2007 Derek Dashuneg 03 04 2004 Healing Hospital
19. ollow up and upload any x rays In the event that you upload the wrong x ray you can always return to this screen and delete it by using the X next to the x ray When you have uploaded all your x rays click Save amp Continue If you receive an error message return to the follow up page and correct the error in your data If you have answered all the questions you will be returned to the Patient Case Information page On it you will see that in addition to the case information surgery information and fracture information there is also now a link to Follow up 1 an icon indicating that there are x rays with this record and a the date of the follow up As Patent Case Information view Edit Patient Name bob Hospital Healing Address Unknown Hospital Gender Age Male 45 Phone none Case Number 2007 004 Injury Date 02 01 2003 Email none Input Date 08 06 2007 SIGN purgeries Add another surgery Surgery 1 March 2 2003 Fracture 1 1 x Ray Right Antegrade Femur Femoral Neck iddle Closed g igma Followup 1 PE 1 X Ray March 3 2007 Add a followup Add a Fracture always this is your link to the follow up information you just entered There is also a NEW icon that will appear next to the item that has changed since the last review of this record The purpose of this icon is to point out to the program manager what it was that changed SIGN Database Training Manual ver 20100719 Page 17 of 2
20. r project managers to review each case entered into the database Once a case is flagged as reviewed it does not show up on this list but is still available by using the Search link If you never mark a case as reviewed it will always remain on this list If you mark cases as reviewed then this list will remain manageable and you will always know that these are your new surgery cases Case review is optional Add A New Case Enter patient case information All fields are required unless marked optional Click the Add a new case link Please note that Hospital Name JDWNRH unless marked as coven o 9 Ep optional all data fields are patient Name Bob required If you forget to fill ina e field and click the Save amp Continue Pym This held ic required a pate of injury February 0 2003 w see a message alerting aa Ga optional Address PO you must fill in optional Phone that field optional Email C CCC id Save amp Continue The information you enter here is taken from the first page of your Data Collection Sheets Select the name of your hospital or leave it as is if it is correct Enter a case number if you use case numbers Enter the patient s name their age and their gender SIGN Database Training Manual ver 20100719 Page 7 of 20 SIGN Surgical Database Training Next enter the date that the injury occurred on If you do not know for sure what the exact dat
21. ses because we have not changed any cases since we reviewed them Search SearchResults ireset to all cases Results 1 4 of 4 rays Input Date Patient Mame Injury Date Hospital Program Manager Case Number CE fe eo powere oseese al ear oemoer vee ns orse r Now lets do a search using more than one search criteria Enter the letter T in the Patient Name field and 123 in the Case Number field Click Search The results list includes all cases where the letter T appears in the name and the numbers 123 appear in the case number Click reset to all cases or the cancel button to return to the surgical cases page with only un reviewed cases showing So far we have covered how to add a new case and how to search for cases Now we will look at how to return to a case to add an x ray or a follow up SIGN Database Training Manual ver 20100719 Page 15 of 20 SIGN Surgical Database Training Reporting Surgical Cases Add A Follow Up To A Case First turn to page 5 of your data collection sheets and then click the Search for a case link Now enter the name of the patient for whom a follow up visit is to be reported and click Search Now click on the patient s name to open their case and click the Add a follow up under the fracture that is being followed up on Hopefully these screens are starting to look pretty familiar Please note that in the Patient Name Bob Case Number 2007
22. staff for any additional help SIGN Database Training Manual ver 20100719 Page 20 of 20
23. the Surgical Cases page shown below From this page you can edit any existing case by clicking on the patient s name add a new case or search for a case To improve the speed at which this page loads you will not see any x ray images until you actually view a specific case but rather the number of X rays will be shown It is critical that a pre op and at least one post op X ray be included with each fracture entered Surgical Cases Em Milles le ele a Oe er E Surgical Cases Add anew case View Unreviewed Cases Search for a case All Cases Results 1 1 of 1 Review Status Ey Reviewed EJ hoty yet reviewed a Patent Name Surgery Date Hospital X rays Input Date a 02 05 2010 Junior Gerome Hospital Sacre Coeur SIGN Database Training Manual ver 20100719 Page 3 of 20 SIGN Surgical Database Training Surgeons Tab This feature is designed to allow you to manage a list of surgeons specific to your hospital You must create your list of surgeons before entering any case data Details of how to do this are found on the next page Surgical Cases Surgical Codes Offline Data Entry Research Surgical Codes Tab This feature is designed to allow you to create a customized list of codes or flags that can be applied to your cases for categorizing them in ways that are meaningful to you This feature has for the most part been replaced by the very customizable search capacity found on the Research tab ee
24. ther surgery another fracture or another follow up to this case When your review is complete click the Flag as Complete button After updating your record the button now changes to Remove Flag As you might guess this allows you to manually change this case from reviewed back to un reviewed if for some reason you need to do so Click Return to Surgical Cases You will notice that this case no longer appears on your new case list It is still present in the database though and the next thing will show you is how to locate it SIGN Database Training Manual ver 20100719 Page 14 of 20 SIGN Surgical Database Training Reporting Surgical Cases Search For A Case On the Surgical Cases page click Search for a case to expand the search window You can search by any of the fields you see here For example if you want to simply see a complete list of all your cases click the Both option for Reviewed Then click Search Now scroll the window down and take a look at Surgical Cases your complete list of cases You will notice Search for a Case that all the cases from ee ea eee pase Stn O are here and flagged as not yet reviewed Hospital Case Number You will also notice that the case you just i R d Ove One flagged as reviewed is rae ving e ne heia also shown here with the yellow reviewed flag As you might have guessed the red flag that indicates a case has changed since last review is not attached to any ca
25. untry of origin is shown To show you what our test case would look like in the research tool will set the search category to Case and the search parameter to Hospital As you can see you will only be able to do this kind of search on your own records Click search and you will see the generic list of the same cases you have been seeing throughout Search Category the training Click the one with the highest Search Parameter number to see the case most recently entered Healing Hospital Search Cases Now lets review the fracture information by add a search parameter clicking on Fracture No l As you can see all of the fracture information is available for review but none of the patient SearchResults reset to all cases Information Click the close button to return to Results 1 4 of 4 the case information page and then click the Return to search cases to continue Case ID Country Case 13496 United States of 4menca Case 13497 United States of Smenca Now let me illustrate the real power of this tool Lets say that you would like to review all cases in the SIGN database where a 33 year old male patient with a closed fracture was treated without antibiotics United States of 4menca Case 13498 Case 13499 United States of 4menca SIGN Database Training Manual ver 20100719 Page 19 of 20 SIGN Surgical Database Training Search Criteria 1 Create your first s
26. ure page For questions where you see the phrase Check all that apply you can check multiple answers as appropriate In some instances when you check a certain box it will cause additional questions to appear Typically if you select Other as an Previous Implant Used ES voc O Wo Check All that Apply CJexternal Fixation Plate Clia Nail Cl wire SIGN Database Training Manual ver 20100719 Page 11 of 20 SIGN Surgical Database Training answer you will be asked to type in some additional information Ok time to turn to page 4 of your Data Collection Sheets and enter information about nails screws and x rays Select the type of nail used its length and its diameter You can edit any of these fields at any time or come back to them another day to make changes Enter Nail Information Type of nail used standard Nail Fin Nail Length of Nail 200 mm Diameter of Nail Enter Screw Information Did you use screws with this nail Length inmm 25 30 35 40 45 Please enter the quantity of screws used 1 or 2 under the appropriate i ll J 7 length for proximal and distal screws B N A istal Screw Holes eoa EEE EAE EO Proximal Screw Holes Ray Images X ray File Name Pre Post Op Date Taken add an Hp Ray Image to this fracture Next enter the screw information By selecting Yes you will cause the screw size ta
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