C

Chris Neville

VP at Evidently

Contributor since November 2025

Anesthesia-Focused Pre-Op Prompt

**Role:** You are a senior anesthesia consultant assisting with a preoperative assessment. > **Task:** Review the provided medical history and summarize the key anesthetic implications for the upcoming [Insert Procedure Name]. > **Requirements:** Please organize your findings into the following high-priority categories: > 1. **Airway & Respiratory:** Identify BMI, Mallampati (if noted), history of difficult intubation, OSA (and CPAP use), or reactive airway disease. > 2. **Cardiovascular:** Summarize METS/functional capacity, recent EKG/Echo findings (specifically EF and valvular issues), history of CAD, stents (include dates/types), and HTN control. > 3. **Metabolic & Endocrine:** Highlight DM management (HbA1c, last glucose), renal function (Cr/GFR), and thyroid status. > 4. **Coagulation & Medications:** List all anticoagulants/antiplatelets with last dose taken. Note any GLP-1 agonists (e.g., Ozempic) due to aspiration risk. > 5. **Anesthetic History:** Flag any history of Malignant Hyperthermia, PONV, Include any history of difficult airway or significant adverse reactions to anesthetics, or pseudocholinesterase deficiency. > 6. **Red Flags:** Briefly list the top 3 most critical risks for this specific patient in the perioperative period. > **Patient Data:** [Paste Patient History/Notes Here] If no data exists state so

Specialty:

Anesthesiology

AI Tool:

Evidently

Anesthesia-Focused Pre-Op" Prompt

##The "Anesthesia-Focused Pre-Op" Prompt> **Role:** You are a senior anesthesia consultant assisting with a preoperative assessment. > **Task:** Review the provided medical history and summarize the key anesthetic implications for the upcoming [Insert Procedure Name]. > **Requirements:** Please organize your findings into the following high-priority categories: > 1. **Airway & Respiratory:** Identify BMI, Mallampati (if noted), history of difficult intubation, OSA (and CPAP use), or reactive airway disease. > 2. **Cardiovascular:** Summarize METS/functional capacity, recent EKG/Echo findings (specifically EF and valvular issues), history of CAD, stents (include dates/types), and HTN control. > 3. **Metabolic & Endocrine:** Highlight DM management (HbA1c, last glucose), renal function (Cr/GFR), and thyroid status. > 4. **Coagulation & Medications:** List all anticoagulants/antiplatelets with last dose taken. Note any GLP-1 agonists (e.g., Ozempic) due to aspiration risk. > 5. **Anesthetic History:** Flag any history of Malignant Hyperthermia, PONV, Include any history of difficult airway or significant adverse reactions to anesthetics, or pseudocholinesterase deficiency. > 6. **Red Flags:** Briefly list the top 3 most critical risks for this specific patient in the perioperative period. > > **Patient Data:** [Paste Patient History/Notes Here] If no data exists state so

Specialty:

Anesthesiology

AI Tool:

Evidently

Identifying Infection in Organ Transplant Recipients (OTR)

Systematically review the patient's chart for any data—historical, clinical, or laboratory—that may indicate an active or occult infection, especially given the blunted immune response typical of immunosuppressed patients. Include in search: Organ(s) Transplanted, surgical complications, nosocomial/hospital-acquired infections (SSI, UTI, HAP, C. diff), and donor-derived infections, opportunistic infections (CMV, PCP, Aspergillus, Nocardia, EBV, Toxoplasmosis, Cryptococcus), Community-acquired infections, but also possible late opportunistic infections (CMV, BK virus, Herpes Zoster) and malignancy (PTLD), Immunosuppression Regimen/Changes, Any recent escalations/increases in dose, any recent dose hold or reduction due to toxicity, prophylaxis status: Is the patient currently receiving or has recently completed prophylaxis for CMV (Valganciclovir), PCP (Bactrim), or Fungi (Fluconazole, Rejection History: Any episodes of allograft rejection (acute or chronic) Date and treatment given (especially T-cell depleting agents like ATG). Fever: Highest documented temperature, Vitals: New or worsening tachycardia, tachypnea, or hypotension (qSOFA criteria), Fatigue/Malaise: New, unexplained, or progressive weakness/lethargy, Allograft Dysfunction (Organ-Specific): Look for functional decline, which can be the only sign of infection. Kidney: Decreased urine output, rising creatinine/BUN. Liver: Rising LFTs (AST, ALT, Bilirubin), worsening synthetic function. Lung: New or increased O2 requirement, progressive cough, dyspnea. Heart: Signs of heart failure, new dysrhythmias. Identify the primary site of infection and review the chart for these specific findings: Review most recent Chest X-ray or CT for infiltrates, nodules, or ground-glass opacities (classic for PJP/Viral). Labs: Respiratory viral PCR panel (Flu, RSV, COVID), CMV/EBV PCR. Stool Studies: C. diff toxin PCR, CMV PCR in blood/tissue (if endoscopy performed). Labs: Liver enzymes (if hepatic involvement). Imaging: Review recent MRI/CT Head. Labs: Documented CSF analysis (if LP performed), Cryptococcal Antigen, Toxoplasmosis serology, EBV PCR (for PTLD). Urine: Urinalysis (UA) for pyuria/leukocytes (often subtle). Cultures: Status of Urine Culture & Sensitivity. Labs: BK Virus PCR/Viral Load (Kidney OTR). Cultures: Wound/Drainage Culture & Sensitivity. Labs: Status of Blood Cultures. Imaging: Ultrasound/CT for deep fluid collections (abscess/lymphocele). Leukopenia/Neutropenia: Low white blood cell or neutrophil count (increases susceptibility to bacteria/fungi). Lymphopenia: Low lymphocyte count (<1000/mm³) (indicates T-cell suppression and high risk for viral/opportunistic infections). Infection Surveillance Labs: CMV PCR/Viral Load: Is the patient viremic? What is the trend? (Most common viral opportunistic infection). EBV PCR/Viral Load: Elevated load is a risk factor for PTLD (which presents like an infection). Galactomannan or Beta-D-Glucan: Elevated fungal markers. Immunosuppressant Levels: Trough Levels: Document recent Calcineurin Inhibitor (Tacrolimus/Cyclosporine) trough levels. High levels correlate with higher infection risk. Cultures/Swabs: Status of all pending or recent cultures (Blood, Urine, Sputum, Wound). Any positive results, including the last sensitivity report.

Specialty:

Infectious Disease

AI Tool:

Evidently

Opioid Use Disorder Deep Search

Systematically review the patient's electronic medical record (EMR) for any information related to potential Opioid Use Disorder (OUD), high-risk factors, or contraindications for initiating or continuing opioid therapy. This search should include all progress notes, problem lists, medication history, and prescription monitoring data. Additionally, review the last 12 months of Prescription Monitoring Program (PMP) data, specifically checking for the following high-risk indicators: - Overlapping Opioid Prescriptions: Note instances where the patient received overlapping opioid prescriptions, particularly from multiple prescribers. - Concurrent Prescriptions: Identify concurrent prescriptions for opioids and benzodiazepines or other sedatives. - Refill Patterns: Examine refill patterns, noting any consistently early refills or significant gaps between refills. - Daily Morphine Milligram Equivalent (MME): Calculate the daily MME level and flag any instance where the dosage is consistently above the high-risk threshold of 50 MME/day.

Specialty:

Emergency Medicine

AI Tool:

Evidently

Potential Child Abuse or Neglect Deep Search

Systematically search the patient's electronic medical record (EMR), including all past visit notes, growth charts, injury documentation, and social service history, for documented physical, behavioral, and caregiver red flags that may indicate potential child abuse or neglect. Search criteria should include: multiple fractures, spiral fracture, bucket-handle fracture, rib fracture (especially in non-mobile infants), epiphyseal injury, bruising on non-mobile infant, bruising on torso/ears/neck, patterned bruising (e.g., belt, hand print), discrepancy in dating of bruises, glove-and-stocking burn pattern, immersion burn, circular burns, splash/spill injury, subdural hematoma, retinal hemorrhage, Shaken Baby Syndrome, inconsistent history of fall, failure to thrive, severe malnutrition, untreated illness, missed immunizations/appointments, poor hygiene, extreme aggressiveness, passivity, hyper-vigilance, flat affect, fear of going home, inappropriate sexual knowledge/behavior, child fears physical exam, avoids caregiver eye contact, child flinches at sudden movements or touch, alcohol intoxication, illicit drug exposure, history provided by caregiver is inconsistent, injury mechanism does not match severity, caregiver delays seeking care, caregiver indifferent to child's pain, overly demanding/critical of child, caregiver reluctant to leave child alone, CPS involvement, protective services, child removed from home, documented family violence, domestic violence, few social contacts, family moves frequently, no available babysitters/support system

Specialty:

Emergency Medicine

AI Tool:

Evidently