ACP Status Collection for LAU: Difference between revisions

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{{Project
{{Project
|ProjectActive=planned
|ProjectActive=legacy
|ProjectRequestor=Dr. Dan Roberts
|ProjectRequestor=Dr. Dan Roberts
|ProjectCollectionStartDate=Whenever [[LAU Collection Project]] starts
|ProjectCollectionStartDate={{LAU Collection StartDt}}
|ProjectCollectionStopDate=Whenever [[LAU Collection Project]] is done
|ProjectCollectionStopDate={{LAU Collection EndDt}}
|Project={{PAGENAME}}
|Project={{PAGENAME}}
}}
}}
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ACP status affects care decisions (and sometimes indecision) and therefore Length Of Stay and also outflow pathways.   
ACP status affects care decisions (and sometimes indecision) and therefore Length Of Stay and also outflow pathways.   
See [[ACP Status Collection over time]] for related collection projects.


== Data Collection ==
== Data Collection ==
* For any record collected as part of [[LAU Collection Project]], enter  
* For any record collected as part of [[LAU Collection Project]], enter  
{{DL |
* The '''first''' documented ACP status
* the first ACP decision? every change? what?
* The '''last''' documented ACP status if different than the first
* wait for Dan to respond
* Do not collect multiple changes in the ACP status during the course of their hospitalization
}}
, only as directed above. 
 
 
=== Data Entry Instructions ===   
=== Data Entry Instructions ===   
The following lines will automatically be added to each new medicine record, existing records entered prior to the start date of the project will need to have these entered manually:  
For every [[LAU Collection Project]], a line with Project = "ACP first" and item = "not entered" will automatically be entered. Update that line to one of the following:  
 
* '''Project:'''
* '''Project: ACP Status'''
** ACP first
* Items:  
** ACP last
* '''Items''':  
** ACP-C
** ACP-C
** ACP-M
** ACP-M
** ACP-R
** ACP-R
** Do we need a cross-checker “no ACP documented”
** not documented
{{DL |
* Is this the complete/correct list? [[User:Ttenbergen|Ttenbergen]] 12:45, 5 March 2025 (CST)
*yes
}}
* '''Project: Consults''' - Item: "PCH Panel"
* Date/Time: dttm of the status decision
* Date/Time: dttm of the status decision
** if decision was made before admission, use the first service/admit dttm
** if a '''time is not available''', enter 12:00
* Checkbox, Integer, Real, Comment: not used
* Checkbox, Integer, Real, Comment: not used
{{DL |
* Do we want any comments / qualitative data
*depends what Dan wants, if he wants first or last, dttm but we shouldn't need comments, just a way of documenting if it isn't documented in the chart anywhere
}}


==== Sources ====
==== Sources ====
{{DL | Lisa, how “collectable” is this, ie would it be in a consistent place in charts? Keep/edit the following as relevant
* ACP form
* ACP form
* Admission sheets
* Admission sheets
}}
* Progress notes
 
For patients who were transferred from another facility, we checked that ACP status against the ACP status determined by the LAU MD.
 
==== About the data ====
* Every patient in our sample had a ACP done by the end of their stay. This was confirmed with the data collector. Likely related to these patients being elderly. There might be a policy at the sites, we have not investigated this.


== Data Use ==
== Data Use ==
Line 49: Line 47:


== Consistency Checks ==
== Consistency Checks ==
{{DL |
* would you agree that almost every patient in this population should have an ACP-* discussion and documentation? If so we should require an entry to ensure this was not missed. [[User:Ttenbergen|Ttenbergen]] 12:45, 5 March 2025 (CST)
*yes
}}
{{Data Integrity Check List|}} <!-- this will populate automatically from the cross-checks -->
{{Data Integrity Check List|}} <!-- this will populate automatically from the cross-checks -->
== Log ==
* 2025-03-06 - discussed with DR if we should use the same dataset and definitions as for [[ACP Status collection in ICU]] ; we don't need the source or the M+/- distinction, but we do want the first and last ACP as we did for that project.


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


[[Category: LAU Collection Project]]
[[Category:LAU Collection Project]]
[[Category:ACP]]
[[Category:ACP]]

Latest revision as of 15:50, 19 August 2025

Projects
Active?: legacy
Program:
Requestor: Dr. Dan Roberts
Collection start: 2025-03-15
Collection end: 2025-04-13

This dataset contains data in support of the LAU Collection Project.

ACP status affects care decisions (and sometimes indecision) and therefore Length Of Stay and also outflow pathways.

See ACP Status Collection over time for related collection projects.

Data Collection

  • For any record collected as part of LAU Collection Project, enter
  • The first documented ACP status
  • The last documented ACP status if different than the first
  • Do not collect multiple changes in the ACP status during the course of their hospitalization

, only as directed above.

Data Entry Instructions

For every LAU Collection Project, a line with Project = "ACP first" and item = "not entered" will automatically be entered. Update that line to one of the following:

  • Project:
    • ACP first
    • ACP last
  • Items:
    • ACP-C
    • ACP-M
    • ACP-R
    • not documented
  • Date/Time: dttm of the status decision
    • if decision was made before admission, use the first service/admit dttm
    • if a time is not available, enter 12:00
  • Checkbox, Integer, Real, Comment: not used

Sources

  • ACP form
  • Admission sheets
  • Progress notes

For patients who were transferred from another facility, we checked that ACP status against the ACP status determined by the LAU MD.

About the data

  • Every patient in our sample had a ACP done by the end of their stay. This was confirmed with the data collector. Likely related to these patients being elderly. There might be a policy at the sites, we have not investigated this.

Data Use

This data is being collected as a current state for LAU Collection Project.

Consistency Checks

Data Integrity Checks (automatic list)

 AppStatus
Query check ACP Status CollectionCCMDB.accdbimplemented

Log

  • 2025-03-06 - discussed with DR if we should use the same dataset and definitions as for ACP Status collection in ICU ; we don't need the source or the M+/- distinction, but we do want the first and last ACP as we did for that project.

Related articles

Related articles:
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