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==

For any patient who either:

* 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:

Line 22:

Line 36:

* Time, checkbox and comment fields are not used

* ~~email instructions as~~ [[~~Influenza tracking]] Myrna and [[p:Trish Ostryzniuk |Trish~~]]

* '''''see [[#potential solution to full treatment/partial treatment collection]] for a proposed collection change for next flu season. '''''

=== 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 etc ===

=== 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 ~~study~~. If the definition is '''not clear''', as usual please ask for confirmation.

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.

=== [[Influenza_tracking#Purpose_and_reporting | See: Purpose this tmp project and reporting]] ===

=== This tmp study is unrelated to whether pt was tested===

=== This tmp study is unrelated to whether pt was tested ===

We ~~collect~~ separately ([[Influenza tracking]]) whether ~~the~~ patient was tested and what the result was~~. This tmp is '''only intended to track that they were treated'''~~.

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.

==~~Questions~~==

=== Transferred patients ===

~~{{Discussion}}~~

*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.

* When you say discharged or dies under the above collection instructions do you mean regardless of what unit the gets transfered to? Are we looking at continuous stay in hospitals in winnipeg? For example if the patient is at the Conc and goes to STB do collectors need to follow up on whether the patient got a full course of Tamiflu at STB?

*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.

***If my patients are transferred out, and the Tamiflu hasn't been discontinued prior to transfer, than I assume they should be continued on Tamiflu. I consider these patients to have received a full treatment.[[User:Mlagadi|Mlagadi]] 09:28, 2018 January 11 (CST)

****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 notes section, how many days of ~~Tamiflu~~. If the patient is transferred to an area where we are collecting then please attempt to follow up to see if the patient was continued on 5 days or more on ~~drug.~~

*We still need confirmation on what to do if they haven't recieved a full course of antivirals (as instructed above) prior to transfer to another unit.I have several of patients who aren't getting the full course prior to transfer and then on follow up it is stopped on the ward prior to 5 days once swabs are in. Trish, Julie can you answer the question and then remove the discussion. Thanks.

**there is a confusion in the area of ~~what influenza treated means. Basically, do we need to check to see if the patient received a full course of Tamiflu~~/oseltamivir ~~during a continuous stay in a hospital? The wording full course implies that we do need to know that information if possible~~.

***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~~. ~~[[User:GHall|GHall]] 09:36, 2018 January 5 (CST)~~

=== ~~Dates~~ ===

=== potential solution to full treatment/partial treatment collection ===

* Start Date: 21 Dec 2017

====Discussion====

* ~~End Date~~: ~~when~~ we ~~figure out how~~ we ~~want~~ to track ~~this~~, ~~hopefully sometime~~ in January 2018

*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~~}} ==

~~none, will work out when finalized~~

== Related Articles ==

~~[[Category: QAInfection]]~~

~~[[Category: L_TmpV2 Data]]~~

}}

~~[[Category: QA]]~~

~~[[Category: Influenza]]~~

@@ Line 1: / Line 1: @@
- 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==
 For any patient who either:
 * 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:
@@ Line 22: / Line 36: @@
 * Time, checkbox and comment fields are not used
-* email instructions as [[Influenza tracking]] Myrna and [[p:Trish Ostryzniuk |Trish]]
+* '''''see [[#potential solution to full treatment/partial treatment collection]] for a proposed collection change for next  flu season. '''''
 === 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 etc ===
+=== 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 study. If the definition is '''not clear''', as usual please ask for confirmation.
+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.
+=== [[Influenza_tracking#Purpose_and_reporting | See: Purpose this tmp project and reporting]] ===
-=== This tmp study is unrelated to whether pt was tested===
+=== This tmp study is unrelated to whether pt was tested ===
-We collect separately ([[Influenza tracking]]) whether the patient was tested and what the result was. This tmp is '''only intended to track that they were treated'''.
+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.
-==Questions==
+=== Transferred patients ===
-{{Discussion}}
+*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.
-* When you say discharged or dies under the above collection instructions do you mean regardless of what unit the gets transfered to? Are we looking at continuous stay in hospitals in winnipeg? For example if the patient is at the Conc and goes to STB do collectors need to follow up on whether the patient got a full course of Tamiflu at STB?
+*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.
-***If my patients are transferred out, and the Tamiflu hasn't been discontinued prior to transfer, than I assume they should be continued on Tamiflu. I consider these patients to have received a full treatment.[[User:Mlagadi|Mlagadi]] 09:28, 2018 January 11 (CST)
-****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 notes section, how many days of Tamiflu.    If the patient is transferred to an area where we are collecting then please attempt to follow up to see if the patient was continued on 5 days or more on drug.
-*We still need confirmation on what to do if they haven't recieved a full course of antivirals (as instructed above) prior to transfer to another unit.I have several of patients who aren't getting the full course prior to transfer and then on follow up it is stopped on the ward prior to 5 days once swabs are in. Trish, Julie can you answer the question and then remove the discussion. Thanks.
-**there is a confusion in the area of what influenza treated means. Basically, do we need to check to see if the patient received a full course of Tamiflu/oseltamivir during a continuous stay in a hospital? The wording full course implies that we do need to know that information if possible.
-***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. [[User:GHall|GHall]] 09:36, 2018 January 5 (CST)
-=== Dates ===
+=== potential solution to full treatment/partial treatment collection ===
-* Start Date: 21 Dec 2017
+====Discussion====
-* End Date: when we figure out how we want to track this, hopefully sometime in January 2018
+*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}}
-[[Category: QAInfection]]
-[[Category: L_TmpV2 Data]]
+}}
-[[Category: QA]]
-[[Category: Influenza]]