Coordination of data between collectors: Difference between revisions

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This page provides guidelines how much communication should happen when patients re transferred from one ward/unit where we collect to another.  
This page provides a guideline about how much information should be communicated between collectors, when patients are transferred from one collection unit/service to another.  


== Things that should be communicated ==
 
== Items to be Communicated ==
Information related to:
Information related to:
* [[CAP-Community Acquired Pneumonia]] vs [[VAP - Ventilator Associated Pneumonia]] vs [[HAP-Hospital Acquired Pneumonia]]
* [[CAP-Community Acquired Pneumonia]] vs [[VAP - Ventilator Associated Pneumonia]] vs [[HAP-Hospital Acquired Pneumonia]]
* [[Central Line Related Blood stream Infection (CLR-BSI)]]
* [[Central Line Related Blood stream Infection (CLR-BSI)]]
* cultured [[Pathogens]] that are returned after a patient moves on to another unit
* Results of cultured [[Pathogens]] that become available ''after'' a patient moves to another unit (see also [[Lab and culture reports]]).
 
== Things that should not be communicated outside of unusual circumstances ==
'''Don't''' coordinate times, regular collection instructions for those are good enough. EPR times are what we are currently using, except for ICU the Arrive time is the first vitals time.
* [[Dispo DtTm]]
* [[Arrive DtTm]]
 
{{DiscussTask | z
We have discussed this at [[Task Team Meeting - Rolling Agenda and Minutes |Task meeting]] and will tweak these instructions. Val is working on this, updates coming, just some working notes for now:


* comparing admit/discharge times
Use the [["generate email" button]] to communicate this information to the next/previous collector.
* sharing serials if that is still done anywhere, I think not... if anyone is still sharing a location and serial pool please post here...
*"One more point, D5 & B3 use consecutive numbers also. These would be hard to keep track of without a paper log for the really quick admissions & discharges that are sometimes seen on B3.--[[User:CMarks|CMarks]] 13:22, 2012 October 1 (CDT)"
}}


== When you ''do'' communicate ==
== Items not to be Communicated ==
Use the [["generate email" button]] to inform the collector at the next/previous location.
Admit, acquired or comorbid codes do not need to be communicated, aside from the ones mentioned above.


Also use the email button to send notifications re. VAPs/CLI. See [[Contacting Quality Officer and Manager for VAPs and CLIs]].
It is not necessary to coordinate transfer times when patients move from one collection location to another.


== Reasons why remaining collection should be done independently ==
== Reasons why remaining collection should be done independently ==
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For patients who moved from one unit or ward to another unit and ward, it is essential that collection of diagnosis and comorbids must be done independently by the data collector of each unit for the following reasons:
For patients who moved from one unit or ward to another unit and ward, it is essential that collection of diagnosis and comorbids must be done independently by the data collector of each unit for the following reasons:


# Comprehensiveness/Completeness of data  - We would like to collect as much information as possible about the patient’s status/condition. If more than one person collects data on the same patient independently, the items missed/overlooked by one person may have been recorded by another.  
# Comprehensiveness/Completeness of data  - We would like to collect as much information as possible about the patient’s status/condition. If more than one person collects data on the same patient independently, the items missed/overlooked by one person may be recorded by another.  
# A measure of precision or repeatability – In a scientific methodology, a measurement process is considered valid if it is accurate and precise.  A measure of precision is related to the degree by which repeated measurements under unchanged conditions will show the same results.  We are interested to know the degree of ‘same ‘or ‘different’ results our measurement process has. In the past, we did a peer audit but did not have the chance to continue since then for various reasons. We have the opportunity to do this currently in selective data (e.g. diagnosis and comorbids) and particularly for the group of patients who stayed in  more than ward/unit during a hospital stay. It must be emphasized that this measure cannot be determined if data are just being transferred from one person to another.  
# A measure of precision or repeatability – In scientific methodology, a measurement process is considered valid if it is accurate and precise.  A measure of precision is related to the degree by which repeated measurements under unchanged conditions will show the same results.  We are interested to know the degree of ‘same ‘or ‘different’ results our measurement process has. In the past we did a peer audit, but did not have the chance to continue since then for various reasons. We have the opportunity to do this currently in selective data (e.g. diagnosis and comorbids) and particularly for the group of patients who stayed in  more than ward/unit during a hospital stay. It must be emphasized that this measure cannot be determined if data is just being transferred from one person to another.  
# Review and standardization of the process – there is also an opportunity to investigate the causes of discrepancies, if any, and improve the collection guidelines and process.
# Review and standardization of the process – there is also an opportunity to investigate the causes of discrepancies, if any, and improve the collection guidelines and process.


== Related Articles ==
== Related Articles ==
{{Related Articles}}
{{Related Articles}}


[[Category: Data Collection Guide]]
[[Category:Data Collection Guide]]
[[Category: Standards and Conventions]]
[[Category:Standards and Conventions]]