BRR: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
mNo edit summary
m Text replacement - "Discuss | who = Tina" to "TT"
 
(17 intermediate revisions by 2 users not shown)
Line 1: Line 1:
{{LegacyContent
|explanation=Will be included in ICD10
|successor=[[Targeted Temperature Management (TTM)]]
|content=
[[Task Team Meeting - Rolling Agenda and Minutes#ICU Database Task Group Meeting – November 8, 2018 | DB task meeting minutes Nov 8.18]]-- User:TOstryzniuk|Trish Ostryzniuk]] 13:41, 2018 December 24 (CST) -->
{{Project
{{Project
  | Project = {{PAGENAME}}
  | Project = {{PAGENAME}}
  | ProjectActive = active
  | ProjectActive = active
  | ProjectProgram = CC
  | ProjectProgram = CC
  | ProjectRequestor = unknown
  | ProjectRequestor = Dr. Dean Bell/Dr. Kendiss Olafson
  }}  
  }}  
'''BRR/XBR''' is an entry we use to identify whether patients are receiving therapeutic hypothermia (Targeted Temperature Management or TTM) following a '''cardiac arrest''' according to the [[Cardiac Arrest Cooling Protocol]]. By identifying all patients that receive this therapy a further audit can be done to identify if therapy was appropriate or not.
 
{{TT | question =
* start and stop date should be in table? [[User:TOstryzniuk|Trish Ostryzniuk]] 13:56, 2018 December 24 (CST)
** yes, it's somewhere on my list to change all the tmp project templates to have the dates built in. Tagged now so staying on the list. }}
 
'''BRR/XBR''' is an entry we use to identify whether patients are receiving therapeutic hypothermia [[Targeted Temperature Management (TTM)]] following a '''cardiac arrest''' according to the [[Cardiac Arrest Cooling Protocol]]. By identifying all patients that receive this therapy a further audit can be done to identify if therapy was appropriate or not.
We do '''not track cooling for reasons other than cardiac arrest'''.
We do '''not track cooling for reasons other than cardiac arrest'''.


=={{G | Guidelines}} / Collection Instructions ==
== Guidelines / Collection Instructions ==
For any ICU patient with one of the following diagnoses:  
For any ICU patient with one of the following diagnoses:  
* [[Witnessed Cardiac Arrest|Cardiac Arrest Witnessed 100-2]]  
* [[Cardiac arrest]]
* [[Unwitnessed Cardiac Arrest|Cardiac Arrest Unwitnessed 100-1]]   
 
'''Do not code BRR or XBR''' when a cooling protocol is used to normalize temperature for any type of '''non-cardiac arrest''' patients.
or pre-ICD10:
* [[Witnessed Cardiac Arrest]]  
* [[Unwitnessed Cardiac Arrest]]   


Code in TMP follows:  
Code in TMP follows:  
Line 21: Line 35:
**'''XBR''' - no cooling protocol applied
**'''XBR''' - no cooling protocol applied


== {{CCMDB Data Integrity Checks|implemented}} ==
'''Do not code BRR or XBR''' when a cooling protocol is used to normalize temperature for any type of '''non-cardiac arrest''' patients.
see [[Check BRR/XBR vs cardiac arrest dx]]


==CCI==
== CCI ==
{{CCI | ready to implement}}
[[Task Team Meeting - Rolling Agenda and Minutes#ICU Database Task Group Meeting – October 3, 2018]] confirmed that we can stop collecting this when we start collecting CCI [[Targeted Temperature Management (TTM)]]. We may want to import the old entries as CCI codes? Ttenbergen 00:19, 2018 October 10 (CDT)


This will be coded as [[Whole body cooling]] in CCI.
== Cross Checks ==
 
see [[Check BRR/XBR vs cardiac arrest dx]]
We will need to
* import old tmp entries accordingly
* change cross checks to the new encoding method
* how do we ensure that all cardiac arrest patients either have TTM (targeted temperature management)or not if you use CCI? The correct term should be TTM.  Hypothermia is not always needed.  The idea is to keep the patient's temperature from going high.  Usual maintenance temp is 36 degrees.


== Background ==
== Background ==
=== Start Dates ===
=== '''Start Dates''' ===
* collection was started '''August 2004'''
* '''2004 August'''
* XBR and [[CCMDB.mdb]] cross checks were added to detect occasions where entry was just forgotten/missed '''March 19.09'''
* XBR and [[CCMDB.accdb]] cross checks were added to detect occasions where entry was just forgotten/missed '''March 19.09'''
* reviewed with Kendiss Olafson and Dean Bell.--[[User:TOstryzniuk|TOstryzniuk]] 17:58, 26 August 2009 (CDT)
* reviewed with Kendiss Olafson and Dean Bell.--[[User:TOstryzniuk|TOstryzniuk]] 17:58, 26 August 2009 (CDT)
* cross-checks changed to include [[Unwitnessed Cardiac Arrest]] '''August 27.09'''  
* cross-checks changed to include [[Unwitnessed Cardiac Arrest]] '''August 27.09'''  
* moved from ICU Var 2 into TMP on Dec 18, 2014
* moved from ICU Var 2 into TMP on Dec 18, 2014
=== '''Stop Date''' ===
'''2018 Dec 31'''
*Stop in TMP.  All patient still in unit after this date, code as: [[Targeted Temperature Management (TTM)]]


=== Why the code XBR? ===
=== Why the code XBR? ===
Line 51: Line 64:
{{Related Articles}}
{{Related Articles}}


[[Category:All Projects ICU only]]
[[Category:Project ICU only]]
[[Category:Arrest]]
[[Category:Arrest]]
}}

Latest revision as of 16:07, 2020 May 5

Legacy Content

This page contains Legacy Content.

Click Expand to show legacy content.