TISS General Info: Difference between revisions
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The '''T'''herapeutic '''I'''ntervention''' S'''coring '''S'''ystem '''(TISS)''' is a method of quantifying, over a 24 hour period, the intensity of nursing and medical care required by ICU patients. | The '''T'''herapeutic '''I'''ntervention''' S'''coring '''S'''ystem '''(TISS)''' is a method of quantifying, over a 24 hour period, the intensity of nursing and medical care required by ICU patients. | ||
== Current collection == | |||
Since [[Limiting of TISS28 Collection]] we collect a subset of TISS28 (see [[TISS Item List]]) which we store with our CCI data for convenience (see [[Change to collect TISS data in CCI Picklist]]/[[Collection of TISS data in CCI Picklist]]) . | |||
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The WRHA Critical Care Program uses a ''locally modified'' version of [[TISS28]] which includes 49 therapeutic variables. In addition to the 28 TISS therapeutic variables, our version contains an additional 21 items that our Regional Critical Care Program have included to monitor for QI purposes. | The WRHA Critical Care Program uses a ''locally modified'' version of [[TISS28]] which includes 49 therapeutic variables. In addition to the 28 TISS therapeutic variables, our version contains an additional 21 items that our Regional Critical Care Program have included to monitor for QI purposes. | ||
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The completion of TISS scoring benefits both the nurses and the patients in our ICUs. | The completion of TISS scoring benefits both the nurses and the patients in our ICUs. | ||
We will scan all pages for entire LOS in ICU. New form will have 7 days per form. | We will scan all pages for entire LOS in ICU. New form will have 7 days per form. Data will be stored in [[TISS28 Data.mdb]]. | ||
TISS28 reflects the care provided to a patient from midnight to midnight on a "calendar date". The wording adaptations on our TISS28 were used to make the form user friendly while maintaining the "spirit" of original article published by R. Miranda et.la. Reasons for wording adaptations are due to 2 things: | TISS28 reflects the care provided to a patient from midnight to midnight on a "calendar date". The wording adaptations on our TISS28 were used to make the form user friendly while maintaining the "spirit" of original article published by R. Miranda et.la. Reasons for wording adaptations are due to 2 things: | ||
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== TISS Items == | == TISS Items == | ||
[[TISS | [[TISS Item List]] - makes list of individual items on our TISS form | ||
== Purpose/Use of TISS == | == Purpose/Use of TISS == | ||
The related items on the various TISS element pages explain which [[Indicators]] use them. | |||
== History of TISS == | == History of TISS == | ||
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*'''1994''' modified: for use for intermediate and floor care nursing units [[iTISS]]. | *'''1994''' modified: for use for intermediate and floor care nursing units [[iTISS]]. | ||
*'''1996''' modified: to reduce and included 28 therapeutic variables. [[TISS28]]. | *'''1996''' modified: to reduce and included 28 therapeutic variables. [[TISS28]]. | ||
Original article, go to: [[Media: TISS 28 R.Miranda CritCareMed_1996.pdf | TISS 28 R.Miranda CritCareMed_1996]] | Original article, go to: [[Media: TISS 28 R.Miranda CritCareMed_1996.pdf | TISS 28 R.Miranda CritCareMed_1996]] | ||
*[http://www.intensivregister.no/LinkClick.aspx?fileticket=oAXMjsCuiX8%3D&tabid=76&mid=428 Miranda article on Web | *[http://www.intensivregister.no/LinkClick.aspx?fileticket=oAXMjsCuiX8%3D&tabid=76&mid=428 Miranda article on Web] Lippincott William _not all tables in article. | ||
*[http://www.ncbi.nlm.nih.gov/pubmed/8565541 Miranda abstract only - Pubmed] | *[http://www.ncbi.nlm.nih.gov/pubmed/8565541 Miranda abstract only - Pubmed] | ||
*[http://www.ncbi.nlm.nih.gov/pubmed/11271087 Rolkf Lefering evaluating ITSS28 in an SICU-abstract only - Pubmed | *[http://www.ncbi.nlm.nih.gov/pubmed/11271087 Rolkf Lefering evaluating ITSS28 in an SICU-abstract only - Pubmed] | ||
*[ | *[https://doi.org/10.1007/s00063-003-1235-3 J Graf, C Graf, KC Koch, P Hanrath and U Janssens. Cost analysis and outcome prediction with the Therapeutic Intervention Scoring System (TISS and TISS-28)]. [German]. Medizinische Klinik 98(3):123-132, 2003. ---- this good paper compares TISS76 with TISS28, and showed use of TISS to track ICU costs | ||
==Start Date TISS28== | ==Start Date TISS28== | ||
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*According to this system, each nurse can provide care for 46.35 TISS-28 points per shift, with each TISS-28 point requiring 10.6 minutes of each nurse's shift. | *According to this system, each nurse can provide care for 46.35 TISS-28 points per shift, with each TISS-28 point requiring 10.6 minutes of each nurse's shift. | ||
===Critical Care=== | ===Critical Care=== | ||
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===Medicine=== | ===Medicine=== | ||
[[iTISS]] piloted for Medicine wards. For start and stop dates go to [[iTISS]] article. | [[iTISS]] piloted for Medicine wards. For start and stop dates go to [[iTISS]] article. | ||
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==Related articles == | ==Related articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
[[Category: TISS | *]] | [[Category:TISS | *]] | ||
[[Category: iTISS]] | [[Category:iTISS]] | ||
[[Category: TISS76 Legacy | *]] | [[Category:TISS76 Legacy | *]] | ||
[[Category: TISS28 | [[Category:TISS28]] | ||