Have any of you every heard of Anti-queries?? The best I can tell I believe what my employees are describing are clinical validation queries.
They have received education to query the physician in this manner:
Patient admitted with cellulitis. Your assistance with confirmation of a documented diagnosis is requested.
Sepsis is documented in your Progress notes. It doesn't appear that the patient meets criteria for sepsis.
Please confirm and provide any additional relevant information to further support the diagnosis in the patient medical record.
>> This diagnosis has been ruled out
>> This diagnosis is confirmed
Please document your clinical rationale______________________
Then it goes on to list the SIRS criteria.
Does this query seem leading to you all??? Because it does to me!
Thanks in advance
We do clinical validation queries all the time. However, we do not put in the query "It doesn't appear that the patient meets criteria for ________". We present with the facts and clinical indicators and asked if the condition has been confirmed or ruled out. Here is our query template we utilize.
Thank you both for your responses. I just needed confirmation of what I already knew to be true!!