Septic Shock Order Set: Difference between revisions

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{{Project

~~| Project = {{PAGENAME}}~~

|ProjectActive=legacy

| ProjectActive = ~~in the works~~

|ProjectProgram=CC

| ProjectProgram = CC

|ProjectRequestor=Allan Garland

| ProjectRequestor = Allan Garland ~~and a Resident~~

|ProjectCollectionStartDate=2018-04-26

}}

|ProjectCollectionStopDate=2018-09-14

|Project={{PAGENAME}}

}}

The Septic Shock Order Set project tracks the ~~use of~~ the Septic Shock Order Set in [[HSC MICU]] and [[HSC SICU]].

{{LegacyContent

|explanation=Tmp project ended

|content=

The Septic Shock Order Set project tracks the compliance in using the '''Standard [[shock, septic|Septic Shock]] Order Set''' [[Media:HSC ICU SepticShock StandardOrderSet.pdf | FORM]] in [[HSC MICU]] and [[HSC SICU]].

*Goal:[[#Background & Data Use | Background & Data Use]]

== Data Collection Instructions ==

=== for which patients to code ===

[[HSC MICU]] and [[HSC SICU]] patients who have an [[Admit Diagnosis]] of [[Shock, septic]] ([[Septic Shock]] in old dx set).

*[[HSC MICU]] and [[HSC SICU]] patients who have an [[Admit Diagnosis]] of [[Shock, septic]] ([[Septic Shock]] in old dx set)

** dx may or may not be [[Primary Admit Diagnosis]]

=== how to code in CCMDB TMP ===

For every qualifying patient enter:

*Project: ~~SeptSet~~

*Project: SepticSet

*Item / Column N: enter one of the following

**filled

**not filled

*Date: form date

*Date: physician's order date on the bottom of the form

~~{{discussAllan|~~you ~~had mentioned two places where this might be~~... }}

*Checkbox: if no date was found, check the checkbox

*~~checkbox~~: ~~if no~~ date ~~was found~~ in ~~either place~~, ~~check~~ the ~~checkbox~~

**'''do not record a physician order date in TMP if the septic order set is unfilled'''

=== Where to seek this info in the HSC paper chart ===

*As of April 2018, this is a single paper page order set. To help you search for it in the paper chart, it's recommended you take a look at the front desk and find out what it looks like.

*The most likely place to look is with the other order sheets. BUT before concluding that it's not present at all, you must leaf through the entire chart.

== Start and End Dates ==

* Start Date: Monday 2018-04-26

* End date: Friday 2018-09-14

**76 records had been collected

** See query "L_tmp_SepticSet" in [[CFE]] for current count

===Report Date===

2018-07-27 - 50 record max reached, which was the goal. Analysis sent to [[p:Dr Allan Garland]] by the [[statistician]]. A follow up email was also sent requesting that after reviewing if project if to continue to stop.

~~== Start and Stop Dates ==~~

2018-09-14 - 76 records - follow up email been sent to [[p:Dr Allan Garland]], on the status of his review of the data to him by the [[statistician]]. Confirmed stopping of project.

* Start Date: ~~{{DiscussAllan | Start Date?}}~~

* End date: not pre-defined, project ~~will end when 50 records have been collected~~.

==~~{{CCMDB~~ Data ~~Integrity Checks|needs review}}~~==

== Background & Data Use ==

~~We won't implement any at start of~~ project ~~until we have some data~~ to do a ~~sanity check~~, but ~~will likely need~~ the ~~following:~~

*This data element will help with an ongoing Quality Improvement project whose goal is to increase use of the Sepsis order set. It has been around for over a year, but is rarely used. The purpose of the project is to audit and find out compliance in the use of this order set.

* ~~if patient qualifies (HSC ICU Septic Shock) then an entry must be present~~

*Dr. Farhaj Siddiqui, fellow.

* ~~date or checkbox have to be filled~~

*Project vetted by attending physicians.

* ~~if date is filled, date has to be between [[Arrive_DtTm]] and~~ [[~~Dispo_DtTm~~]]

*approved by DB [[Steering Committee]] on April 9.18

~~== Data Use ==~~

{{~~DiscussAllan~~ | ~~You explained some at steering, could you fill in some context, both for collectors and for future review or use of this data.~~}}

== ~~Background~~ ==

== Related Articles ==

{{~~DiscussAllan | You explained some at steering, could you fill in some context, both for collectors and for future review or use of this data.~~}}

[[Category:L TmpV2 Data]]

~~[[Category:All Projects ICU only]]~~

}}

@@ Line 1: / Line 1: @@
 {{Project
- | Project = {{PAGENAME}}
+|ProjectActive=legacy
- | ProjectActive = in the works
+|ProjectProgram=CC
- | ProjectProgram = CC
+|ProjectRequestor=Allan Garland
- | ProjectRequestor = Allan Garland and a Resident
+|ProjectCollectionStartDate=2018-04-26
-}}
+|ProjectCollectionStopDate=2018-09-14
+|Project={{PAGENAME}}
+}}
-The Septic Shock Order Set project tracks the use of the Septic Shock Order Set in [[HSC MICU]] and [[HSC SICU]].
+{{LegacyContent
+|explanation=Tmp project ended
+|content=
+The Septic Shock Order Set project tracks the compliance in using the '''Standard [[shock, septic|Septic Shock]] Order Set''' [[Media:HSC ICU SepticShock StandardOrderSet.pdf | FORM]] in [[HSC MICU]] and [[HSC SICU]].
+*Goal:[[#Background & Data Use | Background & Data Use]]
 == Data Collection Instructions ==
 === for which patients to code  ===
-[[HSC MICU]] and [[HSC SICU]] patients who have an [[Admit Diagnosis]] of [[Shock, septic]] ([[Septic Shock]] in old dx set).
+*[[HSC MICU]] and [[HSC SICU]] patients who have an [[Admit Diagnosis]] of [[Shock, septic]] ([[Septic Shock]] in old dx set)
+** dx may or may not be [[Primary Admit Diagnosis]]
 === how to code in CCMDB TMP ===
 For every qualifying patient enter:
-*Project: SeptSet
+*Project: SepticSet
 *Item / Column N:  enter one of the following
 **filled
 **not filled
-*Date: form date
+*Date: physician's order date on the bottom of the form
-{{discussAllan|you had mentioned two places where this might be... }}
+*Checkbox: if no date was found, check the checkbox
-*checkbox: if no date was found in either place, check the checkbox
+**'''do not record a physician order date in TMP if the septic order set is unfilled'''
+=== Where to seek this info in the HSC paper chart ===
+*As of April 2018, this is a single paper page order set.  To help you search for it in the paper chart, it's recommended you take a look at the front desk and find out what it looks like.
+*The most likely place to look is with the other order sheets.  BUT before concluding that it's not present at all, you must leaf through the entire chart.
+== Start and End Dates ==
+* Start Date: Monday 2018-04-26
+* End date:   Friday 2018-09-14
+**76 records had been collected
+** See query "L_tmp_SepticSet" in [[CFE]] for current count
+===Report Date===
+-07-27 - 50 record max reached, which was the goal.    Analysis sent to [[p:Dr Allan Garland]] by the [[statistician]].  A follow up email was also sent requesting that after reviewing if project if to continue to stop.
-== Start and Stop Dates ==
+-09-14 - 76 records - follow up email been sent to [[p:Dr Allan Garland]], on the status of his review of the data to him by the [[statistician]].  Confirmed stopping of project.
-* Start Date: {{DiscussAllan | Start Date?}}
-* End date: not pre-defined, project will end when 50 records have been collected.
-=={{CCMDB Data Integrity Checks|needs review}}==
+== Background & Data Use ==
-We won't implement any at start of project until we have some data to do a sanity check, but will likely need the following:
+*This data element will help with an ongoing Quality Improvement project whose goal is to increase use of the Sepsis order set.  It has been around for over a year, but is rarely used.  The purpose of the project is to audit and find out compliance in the use of this order set.
-* if patient qualifies (HSC ICU Septic Shock) then an entry must be present
+*Dr. Farhaj Siddiqui, fellow.
-* date or checkbox have to be filled
+*Project vetted by attending physicians.
-* if date is filled, date has to be between [[Arrive_DtTm]] and [[Dispo_DtTm]]
+*approved by DB [[Steering Committee]] on April 9.18
-== Data Use ==
+{{Data Integrity Check List|}}
-{{DiscussAllan | You explained some at steering, could you fill in some context, both for collectors and for future review or use of this data.}}
-== Background ==
+== Related Articles ==
-{{DiscussAllan | You explained some at steering, could you fill in some context, both for collectors and for future review or use of this data.}}
+{{Related Articles}}
 [[Category:L TmpV2 Data]]
-[[Category:All Projects ICU only]]
+}}