CCMDB Wiki

Project ABO TEE: Difference between revisions

← Older edit
m Text replacement - "S:\MED\CCMED" to "S:\MED\MED_CCMED"
 
(29 intermediate revisions by 3 users not shown)
Line 1: Line 1:
{{Project
{{Project
| Project = {{PAGENAME}}
|ProjectActive=active
| ProjectActive = active
|ProjectProgram=CC
| ProjectProgram = CC
|ProjectRequestor=Dr. R. Manji, Dr. A. Menkis
| ProjectRequestor = Dr. R. Manji, Dr. A. Menkis
|ProjectCollectionStartDate=2013-01-28
}}  
|Project={{PAGENAME}}
 
}}
We are collecting blood type and cardiac function on [[STB CICU]] patients for analysis of outcomes, research, quality assurance.
We are collecting blood type and cardiac function on [[STB CICU]] patients for analysis of outcomes, research, quality assurance. The project name stands for ABO blood types, and TEE for [https://en.wikipedia.org/wiki/Transesophageal_echocardiogram Trans Esophageal Echocardiogram].  


==Collection Instructions==   
==Collection Instructions==   
* Project '''A_T blood type'''
* Project '''A_T blood type'''
* Blood type would be collected for '''all patients in CICU''' (no matter what type of procedure they had) .... if there is a blood type in chart (which there would be), need to collect it.
* Blood type would be collected for '''all patients in CICU except those admitted under a different service''' .... if there is a blood type in chart (which there would be), need to collect it.There may not be a blood group for patients who are Jehovah's Witnesses; no group & hold will be sent as no blood products will be administered
**A
**A
**B
**B
Line 16: Line 16:
**O
**O
**z not available (starts with z to sort to end)
**z not available (starts with z to sort to end)
** this information is found under the red Blood Products tab on the Red Cross G&M results the hard chart or right after the gold pages of the ABG records on the Health Records chart.


* Project '''A_T LV fraction''' (LV ejection fraction from intra-op TEE (Transesophageal echocardiogram), '''before''' Cardiopulmonary bypass):
* Project '''A_T LV fraction''' (LV ejection fraction) '''before''' Cardiopulmonary bypass (should be from intra-op TEE (Transesophageal echocardiogram) if available, or other pre-op echo if not ):
**<20%
**<20%
**20-29%
**20-29%
Line 24: Line 25:
**z not available (starts with z to sort to end)
**z not available (starts with z to sort to end)


*Project '''A_T function''' (Right ventricular function from intra-op TEE '''before''' cardiopulmonary bypass:)
*Project '''A_T function''' (Right ventricular) '''before''' Cardiopulmonary bypass (should be from intra-op TEE (Transesophageal echocardiogram) if available, or other pre-op echo if not ):
**If the documentation says mild-moderate or moderate to severe, then coding would be towards the worse value-eg. Mild-moderate would be recorded as moderate and moderate-severe would be recorded as severe.
**If the documentation says mild-moderate or moderate to severe, then coding would be towards the worse value-eg. Mild-moderate would be recorded as moderate and moderate-severe would be recorded as severe.
**Values are:
**Values are:
Line 32: Line 33:
***Severely depressed
***Severely depressed
***z not available (starts with z to sort to end)
***z not available (starts with z to sort to end)
** '''Use checkbox for “pre-op echo” – check the box if a result of a pre-op echo was used; leave unchecked if intra-op TEE was used'''


== Source used to obtain ventricular function  ==
* In this file I enter blood type and pre-CBP (pre coronary bypass) RV and LV function. You will find the TEE report in the operation section of the patient chart, usually at the back.
* Collector now has access to TEE reports from [http://incenter.medical.philips.com/doclib/enc/fetch/2000/4504/577242/577250/587413/587431/HI_730609-16_50971_FD_Xcelera_R3.pdf%3fnodeid%3d6392123%26vernum%3d-2  Xcelera]
=== Location of computer ===
*side desk at STB in CICU.


=== Instructions to access the Xcelera computer.===  
=== Finding results ===
TEE results can be found in several places:
*1)on the physician progress/medicine notes post op under TEE which is described in the operative information
*2)at the back of the hard chart under the OR tab, there is sometimes a printout of the colour chart and printed details of the interpretation
*3)on the XCelera computer at the ICCS nursing station  [http://incenter.medical.philips.com/doclib/enc/fetch/2000/4504/577242/577250/587413/587431/HI_730609-16_50971_FD_Xcelera_R3.pdf%3fnodeid%3d6392123%26vernum%3d-2  Xcelera]
*4) now on EPR under DI tab, echocardiograpy US Cardiac Intraoperative TEE
 
=== Using Xcelera ===
*password can be found in the front of STB_CICU data collection binder or ask the other collectors in the office.  
*password can be found in the front of STB_CICU data collection binder or ask the other collectors in the office.  
*locate small black box on desk on right side of computer at STB in CICU.  
*locate small black box on desk on right side of computer at STB in CICU.  
*2 settings:
*2 settings=2 gray buttons; the left one is for Xrays & the right one is for Xcelera
**one for Xcelera
*Make sure the light by the Xcelera mode is on by pushing the right hand gray button  
**one for the xrays.
*Make sure the light by the Xcelera mode is on.
*Log on to the computer using the user name Asper and the password found in the ICCS data collector binder
**This can be changed by pushing the button on the right side of the box.
*doubleclick on the Xcelera icon at the bottom left
*Log on to the computer and click on the Xcelera icon.
**The TEE reports will come up.  
**The Tee reports will come up.  
*Scroll to the one you want and doubleclick to bring it up.
*Scroll to the one you want and click twice to bring it up.
{{Discussion}}
**Question:  if there is no TEE done pre-CPB (cardiopulmonary bypass), then can you use a pre-op standard Echo-cardiogram for this?--[[User:LKolesar|LKolesar]] 13:19, 2015 September 16 (CDT)


==Collection parameters==
==Collection parameters==
Line 61: Line 62:
Information will be provided by our [[statistician]] to physicians for further analysis.
Information will be provided by our [[statistician]] to physicians for further analysis.
*Dr. R. Manji  
*Dr. R. Manji  
*Dr. A. Menkis
== Cross checks ==
{{Data Integrity Check
| DIC_summary = Each of the three projects must have one entry on the ITEM for patients with [[RecordStatus]] complete
| DIC_related_concepts = Project ABO TEE; Service/Location field
| DIC_firmness = hard check
| DIC_timing = complete
| DIC_app = CCMDB.mdb
| DIC_coding = query ''s_tmp_ABO_TEE_checks''
| DIC_status = implemented
| DIC_implementation_date = 2016-01-28
}} [[Category:Site/Location check]]
Checks might have been around before them but were first documented then.


* All the three projects must not have blanks on completion of record.
** automatic functionality, all tmp entries must have matching project/item entries


[[Category:Tmp check]]
{{Data Integrity Check List|}}


==SAS Program==
==SAS Program==
The SAS program to read the data can be found in X:\Julie\SAS_CFE\CFE_macros\CFE_ATBloodType.sas
The SAS program to read the data can be found in {{S:\MED\MED_CCMED}}Julie\SAS_CFE\CFE_macros\CFE_ATBloodType.sas




[[Category:All Projects ICU only]]
[[Category:Site Specific Collection Guide]]
[[Category:Site Specific Collection Guide]]
Retrieved from "https://ccmdb.kuality.ca/index.php?title=Project_ABO_TEE"