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) ~~-- this diagnosis doesn't have to~~ be ~~the FIRST listed one to qualify. If these are included as any of the "present on admission" ICU diagnoses, in MICU or SICU, then code this temp variable.~~

*[[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

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

*Checkbox: if no date was found, 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 ===

Line 25:

Line 35:

*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 ~~Stop~~ Dates ==

== Start and End Dates ==

* Start Date:

* Start Date: Monday 2018-04-26

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

* End date: Friday 2018-09-14

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

**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.

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.

==~~{{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) -- this diagnosis doesn't have to be the FIRST listed one to qualify.  If these are included as any of the "present on admission" ICU diagnoses, in MICU or SICU, then code this temp variable.
+*[[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
-*checkbox: if no date was found in either place, check the checkbox
+*Checkbox: if no date was found, 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 ===
@@ Line 25: / Line 35: @@
 *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 Stop Dates ==
+== Start and End Dates ==
-* Start Date:
+* Start Date: Monday 2018-04-26
-{{DiscussAllan | Start Date?}}
+* End date:   Friday 2018-09-14
-* End date: not pre-defined, project will end when 50 records have been collected.
+**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.
+-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.
-=={{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]]
+}}