Zynx Update March 2013
 

ZynxCare Updated Content

For information pertaining to new or withdrawn evidence and other changes affecting plans of care in the ZynxCare modules during January through March 2013, click here.

General Announcements

  • ZynxCare now comprises 57 modules, 53 patient problems (located within the Patient Problems module), and 255 plans of care (which includes 108 starter plans of care).
  • Below are the changes that have been made at the patient problem level:

    • “Infection – Risk of, Immunocompromised” has been added to the Admission/Discharge venue of the Diabetes/Hyperglycemia module.
    • “ Nutrition Deficit” has been added to the Admission/Discharge venue of the Alcohol Withdrawal module.
    • “Psychosocial Distress” has been replaced by “Anxiety” in the Phase I Rehabilitation, Medical and Phase I Rehabilitation, Surgical venues of the Rehabilitation – Cardiac module.
    • “Standards of Care – Adult, Continuous” has been removed from the Standards of Care module.

New ZynxCare Modules

  • 3 modules have been added during January through March 2013:

    • Eating Disorders
    • Rehabilitation – Pulmonary
    • Transition of Care

New ZynxCare Plans of Care

  • 10 plans of care have been added during January through March 2013:

Module

Venue
Eating Disorders Admission/Discharge
Outpatient Rehabilitation
Starter (based on Admission/Discharge)
Rehabilitation – Pulmonary Admission/Discharge
Outpatient Rehabilitation
Postdischarge
Transition of Care Admission
General
Postdischarge
Predischarge

Clinical Highlights

  • Critical Care Management – Adult

    • Due to the addition of a guideline on the management of pain, agitation, and delirium in adult patients in the ICU from the American College of Critical Care Medicine/Society of Critical Care Medicine/American Society of Health-System Pharmacists, the following activity has been added to the plan of care:

      • Early ambulation promotion

  • Depression

    • Due to the addition of new evidence on Internet-based therapy in depression, the following activity has been added to the plan of care:

      • Education, self-help

  • Sepsis – Adult, Sepsis – Neonatal, and Sepsis – Pediatric
    • Due to the update of a guideline on the management of severe sepsis and septic shock from the Society of Critical Care Medicine/European Society of Intensive Care Medicine, the following activities have been added to the plan of care:

      • Education, care goals
      • Education, prognosis

 

 

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Zynx Update does not address the addition, deletion, or modification of clinical rules, nor does it address the addition of items or the deletion of non–evidence-based items from order sets or plans of care. Zynx Update is intended for use by quality improvement personnel who can review the information provided to help decide if modifications should be made to existing order sets, plans of care, and rules, based on changes to the evidence.