Advice Needed Regarding GEM 100 Result Documentation
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I am reaching out to ask for your thoughts on a process we currently have in place for our GEM 100 analyzers.
Currently, staff document patient results on a paper log sheet in addition to the results being transmitted electronically. I review these logs weekly at a minimum to verify that the results recorded by staff match what is present in RALS and our EMR. The staff have requested that we discontinue the paper documentation process since the results are already being captured electronically.
My hesitation stems from concerns about potential interface failures or result transmission issues. For example, if a critical result such as a value greater than 400 did not successfully transmit, I appreciate having the paper documentation as a secondary verification source. Additionally, our IQCP currently includes paper documentation and routine review as part of the risk mitigation process.
How does your facility handle this situation? Do you rely solely on the electronic record, or do you maintain a secondary documentation process? With our relatively new Cath Lab staff, I am somewhat reluctant to remove an established safeguard without understanding how others have addressed this challenge.
I would greatly appreciate any thoughts, experiences, or recommendations you would be willing to share.
Thank you for taking the time to help.
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As to your concerns about transmission and interface problems: the Gem 100s have log thats very easy to navigate. If needed, it is not difficult to look up a test result on the meter itself- With your concerns, I would list out the circumstances the fully electronic system would fall short and see if meter-specific look-back process could resolve it.