Influenza tracking: Difference between revisions

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{{Project
{{Project
| Project = {{PAGENAME}}
|ProjectActive=legacy
| ProjectActive = active
|ProjectProgram=CC and Med
| ProjectProgram = CC or Med  
|ProjectRequestor=Myrna Dyck
| ProjectRequestor = Critical Care QI Team
|ProjectCollectionStartDate=2017-10-01
}}  
|ProjectCollectionStopDate=2018-07-25
  See also: [[Influenza treated]]
|Project={{PAGENAME}}
}}
{{LegacyContent
|explanation=2017/8 flu season ended; we collect this differently than the requestor so future collection makes no sense.STOPPED for 18/19 season.
|successor=[[Influenza in ICD10]]
|content=


[[Hemophilus influenzae]][https://en.wikipedia.org/wiki/Haemophilus_influenzae] or [[Parainfluenza virus]] is '''not''' considered as [[Influenza in ICD10|Influenza]].
 
See also: [[Influenza treated]]
 
== Dates ==
* Start Date: 2017 Oct  (only Final Cadham lab +ve test).
**Change date: 2017 Dec 21  (positive tests that were TX'd or not with antiviral meds or negative tests that were TX with antiviral med)
* Stop Date: 2018 July 25
**Stop sending to Myrna Dyck & Trish:  May 4, 2018'''.  This is the end of the peak flu season for 2017-18.
 
*Prior to Oct 2017:  There were six (6) audited Influenza cases found with positive culture were also entered in the Tmp Project Influenza.
 
[[Hemophilus influenzae]][https://en.wikipedia.org/wiki/Haemophilus_influenzae] or [[Parainfluenza virus]] is '''not''' considered as [[Influenza in ICD10|Influenza]].


==Data Collection Instructions==
==Data Collection Instructions==
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*** Time:  when culture was taken
*** Time:  when culture was taken
**if '''Cadham lab test is NEGATIVE''' (subsequently '''final''' Cadham lab reports found to be negative), enter: '''NEGATIVE'''
**if '''Cadham lab test is NEGATIVE''' (subsequently '''final''' Cadham lab reports found to be negative), enter: '''NEGATIVE'''
***No need to send to Myrna or Trish:  ''suspected case that you have confirmed to have a negative result from Cadham however, you must keep it documented as such in CCMDB TMP project''.  No need to delete suspected cases confirmed to be negative.
ALSO:
ALSO:
*If '''TREATED with any flu drug,''' go to TMP:  
*If '''TREATED with any flu drug,''' go to TMP:  
**'''Project:''' [[Influenza treated]]
**'''Project:''' [[Influenza treated]]
AND


* '''email Myrna Dyck and [[p:Trish Ostryzniuk | Trish]] if positive, suspected negative and or treated''' (use the: [["generate email" button]])
===emailing Myrna/trish===
*when positive ''with'' treatment
*when positive ''without'' treatment
*when suspected & treated
*when negative but was treated
**treated means [[Influenza_in_ICD10#What_is_a_full_course_of_Antiviral_Treatment.3F | full course of treatment]].'''
 
===When NOT necessary to email Myrna/Trish ===
confirmed to have a negative result from FINAL Cadham Lab and ALSO was NOT treated with [[Influenza_in_ICD10#What_is_a_full_course_of_Antiviral_Treatment.3F | full course of treatment]] with antiviral drug.  (even if originally thought to be suspect and specimens were sent)
 
====Do not delete from TMP====
'''Do not delete from CCMDB Tmp project''', any of your suspected cases that have been confirmed to be negative from Cadham Lab, treated or not treated


=== How long do we give Cadham to come back with results? ===
=== How long do we give Cadham to come back with results? ===
Give Cadham '''2 WEEKS''' from the time the culture was sent to come back with final results. If no results then, enter as '''suspect''' and '''send email to Myrna and [[p:Trish Ostryzniuk | Trish]]'''.
Give Cadham Lab''' 2 WEEKS''' from the time the culture was sent to come back with final results. If no results then, enter as '''suspect''' and '''send email to Myrna and [[p:Trish Ostryzniuk | Trish]]'''.
*I was just speaking with the nurse from infection control here at the HSC. I was asking why some patient's results are coming up on EPR, while some are only found on e-chart. She told me that at HSC, our in house lab will run the test, and then send the sample off to Cadham lab for further testing. The DSM result is the result that shows up on EPR. The Cadham result will show up on E-chart (also will send a paper copy to add to the patient's chart). Interestingly, one result may turn up positive, while the other reads negative (in this case,the positive result is taken). Just thought I would share, as it helped clear up some confusion for me, and I now know to check both sources when possible.[[User:Mlagadi|Mlagadi]] 11:31, 2018 January 11 (CST)
*I was just speaking with the nurse from infection control here at the HSC. I was asking why some patient's results are coming up on EPR, while some are only found on e-chart. She told me that at HSC, our in house lab will run the test, and then send the sample off to Cadham lab for further testing. The DSM result is the result that shows up on EPR. The Cadham result will show up on E-chart (also will send a paper copy to add to the patient's chart). Interestingly, one result may turn up positive, while the other reads negative (in this case,the positive result is taken). Just thought I would share, as it helped clear up some confusion for me, and I now know to check both sources when possible.[[User:Mlagadi|Mlagadi]] 11:31, 2018 January 11 (CST)


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=== What if test was done at previous site? ===
=== What if test was done at previous site? ===
When the swab was sent at another site and that result is not on the chart or in the EPR, code as '''suspect''' and '''email Myrna and Trish'''.
When the swab was sent at another site and that result is not on the chart or in the EPR, code as '''suspect''' and '''email Myrna and Trish'''


== Purpose and reporting ==
== Purpose and reporting ==
The Infection Prevention & Control releases summary report of influenza statistics every Influenza season and the Critical Care Directors would like to make sure that the reported statistics at ICU are consistent with the Critical Care & Medicine Database. The two programs agreed to collaborate by communicating the incidence of influenza as it occurs.  
The Infection Prevention & Control releases summary report of influenza statistics every Influenza season and the Critical Care Directors would like to make sure that the reported statistics at ICU are consistent with the Critical Care & Medicine Database. The two programs agreed to collaborate by communicating the incidence of influenza as it occurs.  
 
*2018 July 25: further meeting and discussions, [[p:Dr Allan Garland]] with Dr. Boyan Paunavic and IPC has lead to stopping this project. We have different purposes and thus different definitions. For more info, see:[[Influenza_in_ICD10#Difference_between_WRHA_.26_our_ICD10_Influenza_definition | Difference between WRHA & ICD10 influenza definition]]
== Dates ==
* Start Date: October 2017
**Prior to Oct 2017 - The six (6) audited Influenza cases found with positive culture were also entered in the Tmp Project Influenza.  
* End Date: indefinite


== {{CCMDB Data Integrity Checks|needs review}} ==
{{Data Integrity Check List|}}
See [[Influenza_in_ICD10#CCDMB_Data_Integrity_Checks]]


== checklist / to do ==
== checklist / to do ==
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{{Related Articles}}
{{Related Articles}}


[[Category: QAInfection]]
 
[[Category: L_TmpV2 Data]]
}}
[[Category: QA]]
[[Category: Influenza]]