CAM positive (TISS Item): Difference between revisions

(14 intermediate revisions by 2 users not shown)

Line 3:

| TISS28 Description = CAM "+" any time today

| TISS28 Points = 0

| TISS28 Item Number = 0

| TISS28 Item Number = 9

| TISS28 Comment = added for Dr. Arora & [[Critical Care QI Team]]

| TISS28 Category = Neurological Support

Line 19:

We are collecting CAM as {{TISS w Nr | CAM positive (TISS Item)}}.

[~~http~~://www.mc.~~vanderbilt.edu~~/~~icudelirium~~/~~docs/CAM_ICU_training.pdf~~ CAM ICU Training]

[https://www.icudelirium.org/resource-downloads/cam-icu-training-manual CAM ICU Training]

== Data problems ==

Line 25:

* [[TISS28 collection Survey January 7, 2013]]

* [[TISS28 collection & scanning Survey April 16, 2013]]

~~{{Discuss | who = Julie | question =~~

* Did these ever get better? Ttenbergen 12:~~44, 2017 May 11 (CDT) Does anything need to be done about this? Ttenbergen 20:15, 2018 November 27 (CST)}}~~

Old discussion:

*Hard to tell in the numbers (whether marking is legit or not). Maybe another round of survey will help - are the data collectors marking or crossing out the entry if they find inconsistencies from various sources?--[[User:JMojica|JMojica]] 14:02, 2017 May 11 (CDT)

**If I find inconsistencies I will correct and/or clarify with the bedside nurse [[User:Lkaita|Lisa Kaita]] 14:21, 2017 May 11 (CDT)

**I will do the same as Lisa, but it isn't always easy to clarify the CAM status of a patient if I am checking TISS sheets from previous days. Sometimes the systems review notes don't seem to correlate with the CAM score on the flow sheet. I have to use my judgement in these cases, so the CAM positive days are not always accurate.[[User:Mlagadi|Mlagadi]] 14:57, 2017 May 18 (CDT)

== ~~Reporting~~ ==

== Data use ==

*~~The information was requested by Dr Arora -~~ [[~~Quarterly report]] showing the monthly statistics regarding the~~ Delirium~~/Confusion cases in complication Diagnosis, counts of patients with at least one day marked with CAM+ and total CAM+~~ days ~~and their associated rates for STB ICMS, ICCS and ACCU.~~

* [[Delirium days]]

*Report included in the [[Critical Care Regional OpPlan]] as requested by the QI Officer - [[Quarterly report]] of Delirium cases, Delirium Rates, Delirium Days and Delirium Rate Days for all ICUs in the region

*New - [[WRHA Critical Care Quality Indicator Chart Report]] ~~for Directors and Managers - Quarterly report of Delirium cases, Delirium Rates, Delirium Days and Delirium Rate Days for all ICUs in the region~~

== See also ==

* [http://anesreatoulouse.free.fr/S%E9minaires%20DES%20anesth%E9sie%202005-2006/Anesth%E9sie%20selon%20le%20terrain%20septembre%202005/Alcohol/CAM-ICU%20CCM_2001.pdf Evaluation of delirium in critically ill patients: Validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)]

* [[Confusion/Delirium]]

== Related articles ==

[[Category:Delirium]]

@@ Line 3: / Line 3: @@
 | TISS28 Description = CAM "+" any time today
 | TISS28 Points = 0
-| TISS28 Item Number = 0
+| TISS28 Item Number = 9
 | TISS28 Comment = added for Dr. Arora & [[Critical Care QI Team]]
 | TISS28 Category = Neurological Support
@@ Line 19: / Line 19: @@
 We are collecting CAM as {{TISS w Nr | CAM positive (TISS Item)}}.
-[http://www.mc.vanderbilt.edu/icudelirium/docs/CAM_ICU_training.pdf CAM ICU Training]
+[https://www.icudelirium.org/resource-downloads/cam-icu-training-manual CAM ICU Training]
 == Data problems ==
@@ Line 25: / Line 25: @@
 * [[TISS28 collection Survey January 7, 2013]]
 * [[TISS28 collection & scanning Survey April 16, 2013]]
-{{Discuss | who = Julie | question =
-* Did these ever get better? Ttenbergen 12:44, 2017 May 11 (CDT) Does anything need to be done about this? Ttenbergen 20:15, 2018 November 27 (CST)}}
+Old discussion:
 *Hard to tell in the numbers (whether marking is legit or not). Maybe another round of survey will help - are the data collectors marking or crossing out the entry if they find inconsistencies from various sources?--[[User:JMojica|JMojica]] 14:02, 2017 May 11 (CDT)
 **If I find inconsistencies I will correct and/or clarify with the bedside nurse [[User:Lkaita|Lisa Kaita]] 14:21, 2017 May 11 (CDT)
 **I will do the same as Lisa, but it isn't always easy to clarify the CAM status of a patient if I am checking TISS sheets from previous days. Sometimes the systems review notes don't seem to correlate with the CAM score on the flow sheet. I have to use my judgement in these cases, so the CAM positive days are not always accurate.[[User:Mlagadi|Mlagadi]] 14:57, 2017 May 18 (CDT)
-== Reporting ==
+== Data use ==
-*The information was requested by Dr Arora - [[Quarterly report]] showing the monthly  statistics regarding the Delirium/Confusion cases in complication Diagnosis, counts of patients with at least one day marked with CAM+ and total CAM+ days and their associated rates for STB ICMS, ICCS and ACCU.
+* [[Delirium days]]
-*Report included in the [[Critical Care Regional OpPlan]] as requested by the QI Officer - [[Quarterly report]] of Delirium cases, Delirium  Rates,   Delirium Days and Delirium Rate Days for all ICUs in the region
-*New - [[WRHA Critical Care Quality Indicator Chart Report]] for Directors and Managers - Quarterly report of Delirium cases, Delirium  Rates,   Delirium Days and Delirium Rate Days for all ICUs in the region
 == See also ==
 * [http://anesreatoulouse.free.fr/S%E9minaires%20DES%20anesth%E9sie%202005-2006/Anesth%E9sie%20selon%20le%20terrain%20septembre%202005/Alcohol/CAM-ICU%20CCM_2001.pdf Evaluation of delirium in critically ill patients: Validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)]
 * [[Confusion/Delirium]]
+{{Data Integrity Check List}}
+== Related articles ==
+{{Related Articles}}
+[[Category:Delirium]]