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Swede74
resident
Posts : 27
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Join date : 2020-05-05

Can I cancel this somehow?!? Empty Can I cancel this somehow?!?

Tue May 05, 2020 8:14 pm
Hi all,

This patient is about to leave!
He's got 100% diagnose, but someone ordered him to do a blood test too, and labs are closed at night, so now he's about to leave, while doctor behind him is playing solitaire.
This happens way to often - is there any way I can cancel the stupid test, to get him the treatment?

It was another doctor ordering the test, at the hospitalization part of emergency (don't know how he ended up there, we don't have any patient history to look at and investigate).

This is really annoying Neutral

Not sure of best way to attach pictures, I'll try two and compare Razz

Can I cancel this somehow?!? CYktUG3
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MedJet
specialist
Posts : 206
Reputation : 2
Join date : 2018-11-21

Can I cancel this somehow?!? Empty Re: Can I cancel this somehow?!?

Tue May 05, 2020 8:33 pm
Swede74 wrote:Hi all,

This patient is about to leave!
He's got 100% diagnose, but someone ordered him to do a blood test too, and labs are closed at night, so now he's about to leave, while doctor behind him is playing solitaire.
This happens way to often - is there any way I can cancel the stupid test, to get him the treatment?

It was another doctor ordering the test, at the hospitalization part of emergency (don't know how he ended up there, we don't have any patient history to look at and investigate).

This is really annoying Neutral

Not sure of best way to attach pictures, I'll try two and compare Razz

Can I cancel this somehow?!? CYktUG3


this has always been an "achilles issue" with this game. I'm not sure if it feeds out of having a higher confirmation rate of diagnosis for a dept or if it's simply due to a weakness in doctor skill/knowledge and or/game AI.
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Swede74
resident
Posts : 27
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Join date : 2020-05-05

Can I cancel this somehow?!? Empty Re: Can I cancel this somehow?!?

Tue May 05, 2020 8:47 pm
Ok, but just giving us option to cancel queued up treatment would solve it!
I don't even know if this is playable, I probably had 5-10 patients leaving this night.
Or I'll just need to have every possible room staffed 24/7, but can't afford that.

Sort of "same problem" with people at observation room. They need some examination, available at the clinic at another department, but they can't be transfered!
They can though, be transfered to radiology, or to labs, but impossible to send to cardiology office or similar, cause it's a "lower level" and we can't "downgrade beds".
It's like as soon as we open up any kind of hospitalization, it's best to have all departments up 100%, so everyone always can be transfered to where needed.

All these very annoying aspects keep popping up when you start to get into the game, after like 10-20 hours....not sure how many I got left to discover, probably a few... Sad
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Fading Qualia
specialist
Posts : 177
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Join date : 2018-03-27
Location : United States

Can I cancel this somehow?!? Empty Re: Can I cancel this somehow?!?

Tue May 05, 2020 11:21 pm
I don't think things are quite as bad as you are thinking.

First, you're right, if you don't have the lab or radiology staffed at night the patients will leave. However, because they are waiting for a test, they should return the next morning. So you'll continue to get alerts notifying you of this (and you can change those settings) but you won't actually permanently lose the patients.

Second, you're also right that sometimes people from observation will need to go to a specialty clinic. However, if the specialty clinic is not open because it's 3:00 AM, the game will try to admit them to the hospital in the relevant department. So, if I have a patient that needs to go to cardiology but it is currently closed, he'll be admitted to the regular ward at cardiology instead where he can be treated and discharged. Likewise, if it's something that would typically be treated in the clinic as an outpatient but the patient is currently in observation, he will also be transferred to the regular ward, treated, and discharged.

So the decision that gives you is whether you would rather (1) Have a doctor staff the specialty clinic at night or (2) would prefer to enable hospitalization at that unity. It's completely possible to only have day clinics and not have any patients leave so long as you have hospitalization enabled at every department.

In regards to the labs and radiology, I personally chose to have someone there 24/7 once I have hospitalized patients. Some hospitalized patients can have complications that only these departments can detect before they crash and, likewise, critical patients who come in by ambulance may need these departments running in order to be diagnosed and saved.

Hopefully I'm understanding your concerns correctly and this helps. Smile
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MedJet
specialist
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Join date : 2018-11-21

Can I cancel this somehow?!? Empty Re: Can I cancel this somehow?!?

Wed May 06, 2020 1:24 am
hmm, since these ER patients can bounce around it's entirely possible the first doctor's diagnostic skill was low (or too low) as to trigger a blood test when tinea pedis has been detected. Course I don't know what your dept level diagnosis confirmation level is either. The higher it is the more tests and labs will be run to confirm a diag (at least in theory). This is why I strive to only allow the most seasoned and skilled doctors run my offices. From just anecdotal observations it does seem to cut down some on the unnecessary testing and labs. I don't think the game will ever come close to making this perfect though.
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Swede74
resident
Posts : 27
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Join date : 2020-05-05

Can I cancel this somehow?!? Empty Re: Can I cancel this somehow?!?

Wed May 06, 2020 1:25 am
EDIT: I'm a new player, haven't messed around with department certainty, so all left on medium. And no mods!

Yeah thanks for the help!
I just think all would be so much easier if we could have the control to cancel a unnecessary test/examination that a doctor has queued up, just before dayshift ends!

I remember a dev talking about freedom earlier on, that the player should be able to design and play as he wants.
But being more or less forced to have all hospitalization at once, or be forced to have all labs/radiology at night, not to have patients leave - it leaves us less choise how we want to expand.
If we could just control the game better, the small details that ruin so much.

Oh well, I'm not playing games during summer at all, I'm out in the sun, and it gets to hot having pc turned on so I couldn't game even if I wanted Wink
And when autumn/winter comes, who knows, maybe the game will have some fixes for some of these things annoying us Smile
I'd rather have that than 10 new departments, or lots of new micromanagement introduced by brand new mechanics added....
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Swede74
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Can I cancel this somehow?!? Empty Re: Can I cancel this somehow?!?

Wed May 06, 2020 7:09 am
I suppose they could also just let the patients know when a clinic/lab/radiology is closed!

So the doctor could say: "alright, you have a contusion, but I want you to take a blood test before I send you home. They close in one hour so if you don't make it you'll have to come back tomorrow".
Then we wouldn't have all patients waiting half the night, then complaining and leaving.
Patients should know the opening hours, right?

So there are two, probably pretty simple, solutions to this.

As I said, I had 5-10 patients leaving last night because they didn't want to wait for lab or similar.

Of course, if you have all labs open during night, and have (probably) ALL hospitalizations build and open, you never get problems, but that's not very flexible and makes it a very steep expansion-curve!
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MedJet
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Can I cancel this somehow?!? Empty Re: Can I cancel this somehow?!?

Wed May 06, 2020 7:42 am
Swede74 wrote:I suppose they could also just let the patients know when a clinic/lab/radiology is closed!

So the doctor could say: "alright, you have a contusion, but I want you to take a blood test before I send you home. They close in one hour so if you don't make it you'll have to come back tomorrow".
Then we wouldn't have all patients waiting half the night, then complaining and leaving.
Patients should know the opening hours, right?

So there are two, probably pretty simple, solutions to this.

As I said, I had 5-10 patients leaving last night because they didn't want to wait for lab or similar.

Of course, if you have all labs open during night, and have (probably) ALL hospitalizations build and open, you never get problems, but that's not very flexible and makes it a very steep expansion-curve!

well, you can set the number of hours a patient will hang around before leaving w/o full treatment. Those that have not met this limit that arrived during the day will hang around to access/finish the procedures (hopefully) when night shift begins.
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Swede74
resident
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Join date : 2020-05-05

Can I cancel this somehow?!? Empty Re: Can I cancel this somehow?!?

Wed May 06, 2020 9:39 am
MedJet wrote:
well, you can set the number of hours a patient will hang around before leaving w/o full treatment. Those that have not met this limit that arrived during the day will hang around to access/finish the procedures (hopefully) when night shift begins.
Ok, how do I do that? Editing some config, or you mean within the game?

But them leaving will still give the same hit to my hospital rating?
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