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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=
 
See also: [[Influenza tracking]]
 


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


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==
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* Time, checkbox and comment fields are not used
* 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 ===
=== 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.


=== 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.


=== This tmp study is unrelated to whether pt was tested===
=== [[Influenza_tracking#Purpose_and_reporting | See: Purpose this tmp project and reporting]] ===
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'''.


==Questions==
=== This tmp study is unrelated to whether pt was tested ===
RE: Transfers to other units or hospitals
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.
* 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 of tamiflu/oseltamivir or any other anti-influenza agent at STB?
***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)
***Answer from Trish about transfers to other units or hospitals (Jan 15,2018)
****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.


***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)
=== 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.


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


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