Minutes Team Meeting December 1, 2010: Difference between revisions
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==Agenda for [ | ==Agenda for [[Team_Meeting_December_1%2C_2010#Agenda Team Meeting December 1, 2010]] == | ||
These are the mins from the meeting. Please add anything you may have in your minutes to any of the topics below. | These are the mins from the meeting. Please add anything you may have in your minutes to any of the topics below. | ||
=='''Laptop issues'''== | =='''Laptop issues'''== | ||
*No place to leave them when working on wards. Can't leave unattended. Many sites have no place to lock them because lack work space. | *No place to leave them when working on wards. Can't leave unattended. Many sites have no place to lock them because lack work space. | ||
**Suggestion: Lock to table or desk.[[ | **Suggestion: Lock to table or desk.[[p: Mlaporte|Marie Laporte]] would like lock for Grace ICU site. | ||
**[[ | **[[p:Shirley Kiesman-retired, Dec 31, 2018|Shirley Kiesman]] to check for unused lock at VIC, if can't find one will be ordered for Marie from main office. | ||
**Tina has a lock and has sent it to Trish's office. | **Tina has a lock and has sent it to Trish's office. | ||
*Laptop slow - Vic site - [[ | *Laptop slow - Vic site - [[p:Shirley Kiesman-retired, Dec 31, 2018|Shirley Kiesman]] - using first generation laptop. Will be first site to be replaced. Tina has 2 spare newer laptops and will look at replacing. | ||
*[[ | *[[p:SDowson2|Sheila Dowson]] - still has to scroll down DX list to find Tasks - [[p:Ttenbergen|Tina Tenbergen]] will check this laptop and find out what the problem is. | ||
=='''Restructuring DX codes in Access'''== | =='''Restructuring DX codes in Access'''== | ||
*Codes will eventually be mapped to ICD10, but current codes would be easier to find if wording was reorganzied to make them easier to find in Access DX list. | *Codes will eventually be mapped to ICD10, but current codes would be easier to find if wording was reorganzied to make them easier to find in Access DX list. | ||
**[[User:LKolesar|Laura Kolesar]] and [[ | **[[User:LKolesar|Laura Kolesar]] and [[p:Lois Bilesky-retire Jan 10, 2019|Lois Bilesky]] offered to work with [[User: Ttenbergen|Tina Tenbergen]] to do this. Approved by [[User: TOstryzniuk|Trish Ostryzniuk]] | ||
**Tina reviewed the "FIND" function in Access. (someone can retype this if they can explain better). When in the DX list, make sure you are not in a specific DX category, click on EDIT tab, click on FIND. A window will pop up and it will allow you to type in the word you are looking for. | **Tina reviewed the "FIND" function in Access. (someone can retype this if they can explain better). When in the DX list, make sure you are not in a specific DX category, click on EDIT tab, click on FIND. A window will pop up and it will allow you to type in the word you are looking for. | ||
**Tina did a demo about tabbing and navigating through laptop and how to use "FIND" in DX list. | **Tina did a demo about tabbing and navigating through laptop and how to use "FIND" in DX list. | ||
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===Contaminated specimen - how to code=== | ===Contaminated specimen - how to code=== | ||
'''If a culture is sent and it comes back as a "contaminant" therefore, not pathogenic, then code culture as [[Negative Culture]].''' | '''If a culture is sent and it comes back as a "contaminant" therefore, not pathogenic, then code culture as [[Negative Culture]].''' | ||
*[[User: TOstryzniuk|Trish Ostryzniuk]] to ask Dr. Kumar is there is any value to include subcode of "contaminant". Question submitted Dec 2.10--[[User:TOstryzniuk|TOstryzniuk]] 19:04, 2 December 2010 (CST) | |||
**Dr. Kumar agrees with the above.--[[User:TOstryzniuk|TOstryzniuk]] 14:45, 6 December 2010 (CST) | |||
*[[User:LKolesar|Laura Kolesar]] pointed out an example of a [[Central Line Related Blood stream Infection (CLR-BSI)]] being coded as an admitting code to a community Hospital. Community Hospital [[User: Mlaporte|Marie Laporte]] had emailed STB site in regards to this because Community site physician note documenting Line Infection. Laura followed up with ID nurse at STB, who verified that Blood Stream infection was not central line related and was a contaminant. | *[[User:LKolesar|Laura Kolesar]] pointed out an example of a [[Central Line Related Blood stream Infection (CLR-BSI)]] being coded as an admitting code to a community Hospital. Community Hospital [[User: Mlaporte|Marie Laporte]] had emailed STB site in regards to this because Community site physician note documenting Line Infection. Laura followed up with ID nurse at STB, who verified that Blood Stream infection was not central line related and was a contaminant. | ||
**Discussion about the CLR-BSI project that is going on across Canada in Critical Care | **Discussion about the CLR-BSI project that is going on across Canada in Critical Care Vital Signs Monitoring (defunct). Central line related BSI are preventable and the goal is for ICUs to have none. Julie inputs this information (see [[Line Count Form used by ICUs]]) into a Canada wide program that many ICUs in Canada are participating in. | ||
===H3N2=== | ===H3N2=== | ||
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==Contact list on Wiki== | ==Contact list on Wiki== | ||
* | *Collectors are asked to maintain their own contact information on Wiki. This includes posting when you are away on vacation. | ||
*Staff have been asking for a paper copy of contact list. They are finding it cumbersome to find who is working or covering at each unit in the city. | *Staff have been asking for a paper copy of contact list. They are finding it cumbersome to find who is working or covering at each unit in the city. | ||
**If there are any suggestions how to reorganize contacts on Wiki to be more user friendly, let us know. | **If there are any suggestions how to reorganize contacts on Wiki to be more user friendly, let us know. | ||
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*There will no longer be a need to prioritize labs | *There will no longer be a need to prioritize labs | ||
*Staff will no longer have to pick lab tests from a drop down list. | *Staff will no longer have to pick lab tests from a drop down list. | ||
*There is one list for HSC and another list for all other sites. Both have the same lab tests however there are a few | *There is one list for HSC and another list for all other sites. Both have the same lab tests however there are a few tests at HSC that will still be downloaded rather than manually tallied because HSC can interface with the Delphic RTS. | ||
*Staff can advise Tina how they would like the lab list organized. | *Staff can advise Tina how they would like the lab list organized. | ||
**Discussion about many staff still using a paper form to count lab tests and then inputting totals into Access. We would like eliminate paper lab form. Tina will meet with [[User: DKlopick | Deb Klopick]] and [[User: Jpeterson|Joyce Peterson]] and will look and what she can come up with to improve the lab entry in Access so that paper is no longer needed. | **Discussion about many staff still using a paper form to count lab tests and then inputting totals into Access. We would like eliminate paper lab form. Tina will meet with [[User: DKlopick | Deb Klopick]] and [[User: Jpeterson|Joyce Peterson]] and will look and what she can come up with to improve the lab entry in Access so that paper is no longer needed. | ||
**STB counts labs retrospectively from the [[ | **STB counts labs retrospectively from the [[STB Electronic Patient Record]] computer screen therefore they don't use paper forms. | ||
=='''Pharmacy List'''== | =='''Pharmacy List'''== | ||
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[[User: LKolesar|Laura Kolesar]] and the collection team acknowledged [[User:Ttenbergen|Tina Tenbergen]] for the superb IT support that she has been providing to the data collection team. | [[User: LKolesar|Laura Kolesar]] and the collection team acknowledged [[User:Ttenbergen|Tina Tenbergen]] for the superb IT support that she has been providing to the data collection team. | ||
=='''[[:Category: Stroke | Stroke (CVA)]]''' chart audit== | =='''[[:Category: Stroke (old) | Stroke (CVA)]]''' chart audit== | ||
Regional Health Information Services are involved in a cross Canada project looking at performance improvement for new [[:Category: Stroke | stroke]] patients and have been collecting data on new stroke population. | Regional Health Information Services are involved in a cross Canada project looking at performance improvement for new [[:Category: Stroke (old) | stroke]] patients and have been collecting data on new stroke population. | ||
===Observations=== | ===Observations=== | ||
There is a difference between our database and the DAD database in regards to the number of new stroke cases identified. | There is a difference between our database and the [[DAD]] database in regards to the number of new stroke cases identified. | ||
Example: | Example: | ||
#Our databases coded as admitted with a stroke, but no record in their database. | #Our databases coded as admitted with a stroke, but no record in their database. | ||
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===Chart audit assignments=== | ===Chart audit assignments=== | ||
*Grace - chart audits (4)- [[User: SCortilet|Stephanie]] - Completed Dec 3.10 | *Grace - chart audits (4)- [[User: SCortilet|Stephanie]] - Completed Dec 3.10 | ||
*HSC site - chart audit (11) - | *VIC site - chart audit (5) - [[p:Shirley Kiesman-retired, Dec 31, 2018| SKiesman]] - Completed Dec 8.10 | ||
*HSC site - chart audit (11) -[[User: PStein | Pat]], [[p:Gail Hall-resign, Nov 29, 2018|GHall]] - Completed Dec 13.10 | |||
*STB site - chart audit (9) - [[User: LKolesar | Laura]] | *STB site - chart audit (9) - [[User: LKolesar | Laura]] | ||
[[Category: Minutes 2010]] | |||
[[Category:Minutes 2010]] | |||