Influenza treated: Difference between revisions

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See also: [[Influenza tracking]]
{{Project
|ProjectActive=legacy
|ProjectProgram=CC and Med
|ProjectRequestor=Critical Care QI Team
|ProjectCollectionStartDate=2017-12-21
|ProjectCollectionStopDate=2018-07-25
|Project={{PAGENAME}}
}}
{{LegacyContent
|explanation=Peak flu season 2017/8 ended, and we collect this different than the requestor. STOPPED for 2018/19 flu season.
|successor=[[Influenza in ICD10]]
|content=


{{Project
See also: [[Influenza tracking]]
| Project = {{PAGENAME}}
 
| ProjectActive = active
| ProjectProgram = CC or Med
 
| ProjectRequestor = Critical Care QI Team
=== Dates ===
}}
* Start Date: 2017 Dec 21
* Stop Date: 2018 Jul 25 
**2018 May 04: '''STOP''' emailing Myrna and [[p:Trish Ostryzniuk |Trish]].  This is the end of the peak flu season for 2017-18.


There is some confusion right now which definition of influenza we will follow. However we are in the middle of flu season and people are off for holidays so we can't make final decisions. So we will (for now)start a second project to use the [[Influenza in ICD10]] definition.  
== Collection process ==
There is some confusion right now which definition of influenza we will follow. We are in the middle of flu season and people are off for holidays so we can't make final decisions therefore, we will (for now) start second project and use the [[Influenza in ICD10]] definition.


==Data Collection Instructions==
==Data Collection Instructions==
For any patient who either
For any patient who either:
* receives a full course of tamiflu/oseltamivir or any other anti-influenza agent
* receives a '''[[Influenza_in_ICD10#What_is_a_full_course_of_Antiviral_Treatment.3F | full course of treatment]]''' of tamiflu/oseltamivir or any other anti-influenza agent
* starts a course of tamiflu but is discharged or dies before the course is finished
* starts a course of Tamiflu but is discharged, dies or is transferred to an area we don't collect on before the full course is finished


Enter the following in tmp:  
Enter the following in tmp:  
Line 22: Line 36:


* Time, checkbox and comment fields are not used
* Time, checkbox and comment fields are not used
* do not contact anyone as in [[Influenza tracking]] based on these criteria
 
* '''''see [[#potential solution to full treatment/partial treatment collection]] for a proposed collection change for next  flu season. '''''


=== Don't use TMP as notes ===
=== Don't use TMP as notes ===
Please do not enter this TMP until you have actually influenza treated. Use the [[Notes field]] on you laptop as a reminder if needed.
Please do not enter this TMP until you have actually influenza treated. Use the [[Notes field]] on you laptop as a reminder if needed.


{{discussion}}
=== Definition is known to be different from ICD10/WHO/CDC/WRHA etc ===
*I am confused, as the data collection instructions above say to enter this for any patient who is given a full course of tamiflu. If we have a suspected case, who either dose not get swabbed, or the swab comes back negative, then we do not track these suspected cases anywhere? I have some patients who have a swab ordered, but I cannot find any results on EPR or e-chart. This would mean that all of these suspected and treated cases would not be documented. My only coding choice would be tracheobronchitis-no culture sent or resulted, or Pneumonia-no culture sent or resulted.[[User:Mlagadi|Mlagadi]] 09:19, 2017 December 29 (CST)
The definition of collection for this tmp study is known to be different from definitions used elsewhere. Please use this definition for this tmp project. If the definition is '''not clear''', as usual please ask for confirmation.
** Hey Michele, from my reading of both influenza tracking and treated, I do the following:
*1) if suspected and treated with a full course of antiviral,and no swab sent or swab = negative enter influenza treated (note swab results in
notes field)
*2) if suspected and treated with a full course of antiviral and swab = positive then enter influenza with positive culture date
*3) if swab sent and no treatment given and swab result= positive then enter influenza with positive result date (I would leave a comment
in the notes field)
*4) if swab sent, and no treatment and swab result = negative, enter nothing (I note the influenza results in the notes field)
*5) if no swab sent and no treatment and swab result =positive, enter influenza with positive result date (comment in notes field)
*6) if no swab sent and treated with antiviral for full course, enter influenza treated (same as #1 above)
Hope this helps,I may have missed a scenario so feel free to add to this,or maybe I have misinterpreted the instructions! [[User:Lkaita|Lisa Kaita]] 12:04, 2017 December 29 (CST)


{{Discussion}}
=== [[Influenza_tracking#Purpose_and_reporting | See: Purpose this tmp project and reporting]] ===
*If they have to have a full course of antivirals maybe we should be counting the days in our pharm_flow so that we don't use the influenza treated in the temp studies.They way it is set up now you can't tell if they got a full course of antivirals or not. [[User:GHall|GHall]] 09:36, 2018 January 5 (CST)


=== Dates ===
=== This tmp study is unrelated to whether pt was tested ===
* Start Date: 21 Dec 2017
This tmp is '''only intended to track that they were treated'''.  We also had collected separately ([[Influenza tracking]]) which tracked whether a patient was tested for influenza and what the result was.
* End Date: when we figure out how we want to track this, hopefully sometime in January 2018
 
=== Transferred patients ===
*If the patient is transferred to an area where we don't collect data, then consider this a lost to follow up and patient is considered to be treated.  Please in record in the notes section how many days of of tamiflu/oseltamivir or any other anti-influenza agent they recieved.
*If the patient is transferred to an area where we are collecting data then please attempt to follow up to see if the patient was continued on 5 days or more on an of tamiflu/oseltamivir or any other anti-influenza agent.If less than 5 days they are not considered influenza treated.
 
=== potential solution to full treatment/partial treatment collection ===
====Discussion====
*One suggestion: If they don't have a full course of antivirals maybe we should be counting the days in our pharm_flow so that we don't use the influenza treated code in the temp studies for those that don't get a full treatment?The way it is set up now you can't tell if they got a full course of antivirals or not. For now we should use the notes section to keep track of number of days on antiviral treatment. [[User:GHall|GHall]] 09:36, 2018 January 5 (CST)
** Could use the tmp field to count the days, too, that way it is available for medicine as well, and the data is all in one place. emailed Julie/Trish for comment. Ttenbergen 18:20, 2018 January 24 (CST)
**Reply from Allan:  Recording the # of days we know the pt got antiviral treatment sounds like the best possibility here.
*** So, would we collect this count in the integer field of this study record? If so, does that mean we would enter the code even if the treatment was only partial? Ttenbergen 11:57, 2018 March 20 (CDT)
****not implemented.


== {{CCMDB Data Integrity Checks|needs review}} ==
{{Data Integrity Check List|}}
none, will work out when finalized


== Related Articles ==
== Related Articles ==
{{Related Articles}}
{{Related Articles}}


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

Latest revision as of 23:33, 2 January 2019

Projects
Active?: legacy
Program: CC and Med
Requestor: Critical Care QI Team
Collection start: 2017-12-21
Collection end: 2018-07-25

Legacy Content

This page contains Legacy Content.

  • Explanation: Peak flu season 2017/8 ended, and we collect this different than the requestor. STOPPED for 2018/19 flu season.
  • Successor: Influenza in ICD10

Click Expand to show legacy content.

See also: Influenza tracking


Dates

  • Start Date: 2017 Dec 21
  • Stop Date: 2018 Jul 25
    • 2018 May 04: STOP emailing Myrna and Trish. This is the end of the peak flu season for 2017-18.

Collection process

There is some confusion right now which definition of influenza we will follow. We are in the middle of flu season and people are off for holidays so we can't make final decisions therefore, we will (for now) start second project and use the Influenza in ICD10 definition.

Data Collection Instructions

For any patient who either:

  • receives a full course of treatment of tamiflu/oseltamivir or any other anti-influenza agent
  • starts a course of Tamiflu but is discharged, dies or is transferred to an area we don't collect on before the full course is finished

Enter the following in tmp:

  • Project: Influenza treated
  • Item: Influenza treated
  • Date: date of treatment start
    • if started before admission and the data is not known, use admission date
  • Time, checkbox and comment fields are not used

Don't use TMP as notes

Please do not enter this TMP until you have actually influenza treated. Use the Notes field on you laptop as a reminder if needed.

Definition is known to be different from ICD10/WHO/CDC/WRHA etc

The definition of collection for this tmp study is known to be different from definitions used elsewhere. Please use this definition for this tmp project. If the definition is not clear, as usual please ask for confirmation.

See: Purpose this tmp project and reporting

This tmp study is unrelated to whether pt was tested

This tmp is only intended to track that they were treated. We also had collected separately (Influenza tracking) which tracked whether a patient was tested for influenza and what the result was.

Transferred patients

  • If the patient is transferred to an area where we don't collect data, then consider this a lost to follow up and patient is considered to be treated. Please in record in the notes section how many days of of tamiflu/oseltamivir or any other anti-influenza agent they recieved.
  • If the patient is transferred to an area where we are collecting data then please attempt to follow up to see if the patient was continued on 5 days or more on an of tamiflu/oseltamivir or any other anti-influenza agent.If less than 5 days they are not considered influenza treated.

potential solution to full treatment/partial treatment collection

Discussion

  • One suggestion: If they don't have a full course of antivirals maybe we should be counting the days in our pharm_flow so that we don't use the influenza treated code in the temp studies for those that don't get a full treatment?The way it is set up now you can't tell if they got a full course of antivirals or not. For now we should use the notes section to keep track of number of days on antiviral treatment. GHall 09:36, 2018 January 5 (CST)
    • Could use the tmp field to count the days, too, that way it is available for medicine as well, and the data is all in one place. emailed Julie/Trish for comment. Ttenbergen 18:20, 2018 January 24 (CST)
    • Reply from Allan: Recording the # of days we know the pt got antiviral treatment sounds like the best possibility here.
      • So, would we collect this count in the integer field of this study record? If so, does that mean we would enter the code even if the treatment was only partial? Ttenbergen 11:57, 2018 March 20 (CDT)
        • not implemented.

Data Integrity Checks (automatic list)

none found

Related Articles

Related articles:
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