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IT System Coordinates People, Processes, and Technology

By MedImaging International staff writers
Posted on 11 Sep 2012

Using embedded, workflow-driven, enterprise health information technology (IT) systems, clinicians are electronically managing patient care orders and the complete healthcare process.

Siemens Healthcare (Erlangen, Germany) has announced that Virtua (Marlton, NJ, USA), a multihospital healthcare system, has achieved a considerable clinical milestone in the adoption of electronic health records (EHRs). Physicians at all four Virtua hospitals (Berlin, Marlton, Mount Holly, and Voorhees, NJ, USA) are now entering clinical orders electronically through the use of the Soarian Clinicals enterprise health IT system. Electronic ordering is boosted by embedded functionality within Soarian that enables clinical staff to coordinate care between people, processes, and technology. The Virtua system is being used to help Virtua staff meet quality measures for safety and to comply with other health reform objectives. This level of care coordination is enabled by using solutions from Siemens Healthcare, which is in the middle of a two-year global initiative, called Agenda 2013, which aims to increase the company’s competitiveness and innovative capacity.

“Virtua is committed to excellence in patient care and to delivering that care in a sustainable way,” said Richard P. Miller, president and CEO at Virtua. “As we continue to evaluate ways to maintain high levels of service delivery across care settings, reliance on a contemporary, enterprise-wide EHR provides the foundation to achieve those goals. These solutions help ensure that our health system is well positioned to meet our care coordination goals across settings.”

At Virtua, caregivers have access to evidence at the point of care, and are creating interdisciplinary care plans to facilitate coordination of care across multiple teams. They are utilizing embedded workflows of the Soarian solution to additionally facilitate compliance with documentation. Virtua is already automating several manual data collection tasks by integrating vital signs data obtained from patient care monitoring systems into a patient’s EHR. This integration helps eliminate errors associated with the manual copying of information.

“As a top healthcare provider in New Jersey, we have recognized that many aspects of the care we deliver are improved by having access to a modern enterprise-wide clinical EHR solution – a solution that connects our providers across the enterprise,” said Alfred Campanella, executive vice president, strategic business growth and analytics at Virtua. “Soarian’s capabilities help us address clinical process through workflows that coordinate actions across a number of care settings and professions. The data that we generate about a patient is used to trigger responses and actions. We can tie these actions back to broad national quality initiatives. Not only are we providing high quality patient care, but we are also improving the way that we document these processes.”

Virtua also employs a closed-loop medication administration process that helps improve patient safety by providing IT solutions for medication reconciliation (from admission through discharge), medication ordering with clinical checking, Med Administration Check with barcode checking at the point of care and electronic prescribing. The clinical-checking component includes a full suite of notifications for drug-drug or drug-allergy interactions and more. Only about 20% of US hospitals have deployed this level of closed-loop electronic medication management.

Virtua’s use of enterprise-wide clinical health IT also allows the organization to begin leveraging powerful business analytics tools. These tools help Virtua management monitor organizational performance, measure progress, and identify opportunities for further improvement. Virtua is also tapping Siemens to help plot an organizational course through numerous quality reporting requirements. With Siemens strategic consulting services, Virtua can ensure that the health system receives appropriate reimbursement for the high-value care they deliver under Medicare [a publicly funded health insurance program] reimbursement changes known as the value-based purchasing program.

Related Links:
Siemens Healthcare
Virtua

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63 (372.17140197754): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=216 ORDER BY `ordering`

64 (561.95259094238): select jos_twitters.link from jos_twitters where cat=10

65 (792.9801940918): select jos_facebook.link from jos_facebook where cat=10

66 (735.99815368652): select jos_google_plus.link from jos_google_plus where cat=10

67 (905.03692626953): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 4749.7749328613): SELECT fid FROM jos_deeppockets WHERE id=294742465 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294742465 AND published='1' LIMIT 1

69 (117.06352233887): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=216 ORDER BY `ordering`

70 (!!!!! 2336.9789123535): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742465 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (316.14303588867): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742465 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (580.0724029541): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (!!!!! 3926.0387420654): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (633.00132751465): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (112.05673217773): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (163.79356384277): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (82.015991210938): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (130.17654418945): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (351.90582275391): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (77.009201049805): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742465 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (40.769577026367): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742465 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (46.968460083008): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (145.91217041016): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (79.870223999023): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (97.036361694336): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (59.843063354492): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (105.85784912109): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (65.088272094727): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (128.03077697754): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (59.127807617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (101.80473327637): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (67.949295043945): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (90.122222900391): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (92.983245849609): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (665.90309143066): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

105 (150.20370483398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

106 (120.16296386719): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294742465 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (124.21607971191): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294742465 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (166.89300537109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

109 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

110 (171.89979553223): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294742465 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (679.01611328125): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294742465 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (598.19221496582): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (416.99409484863): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

115 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

116 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

117 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

118 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

119 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

120 (308.03680419922): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 56087.970733643): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

122 (152.1110534668): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

123 (95.844268798828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

124 (!!!!! 2314.8059844971): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742465 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742465 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 742624.04441833): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

126 (77.962875366211): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (38.14697265625): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (29.802322387695): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (36.001205444336): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (28.133392333984): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (29.802322387695): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (28.133392333984): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (545.02487182617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (430.10711669922): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (312.80517578125): SELECT name FROM jos_deeppockets WHERE id=216

136 (35.04753112793): SELECT name FROM jos_deeppockets WHERE id=216

137 (514.03045654297): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (622.98774719238): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

140 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

141 (!!!!! 9897.9473114014): TRUNCATE TABLE jos_trademed_module

142 (118.97087097168): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294742465 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (72.956085205078): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294742465 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (899.07646179199): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

147 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

148 (!!!!! 1138.9255523682): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

149 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

150 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

151 (55.074691772461): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294742465 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294742465 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (433.92181396484): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

153 (40.054321289062): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

154 (64.849853515625): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

156 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294742465 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294742465 AND published='1' LIMIT 1

157 (36.001205444336): select jos_twitters.link from jos_twitters where cat=10

158 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

159 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

160 (31.948089599609): select jos_linkedin.link from jos_linkedin where cat=10

161 (230.07392883301): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1266.0026550293): insert into jos_banners_delta values (14615,'2025-06-18 22:51:03','216.73.216.120','view'),(14202,'2025-06-18 22:51:03','216.73.216.120','view'),(14203,'2025-06-18 22:51:03','216.73.216.120','view')

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