ACP Status Collection for LAU: Difference between revisions

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m Ttenbergen moved page ACP Status Collection for LAU to ACP Status Collection without leaving a redirect: Text replacement - "ACP Status Collection for LAU" to "ACP Status Collection"
Sources: moved remaining question to ACP Status Collection
 
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{{Project
{{Project
|ProjectActive=active
|ProjectActive=legacy
|ProjectProgram=CC and Med
|ProjectRequestor=Dr. Dan Roberts
|ProjectRequestor=Dr. Dan Roberts
|ProjectCollectionStartDate={{LAU Collection StartDt}}
|ProjectCollectionStartDate={{LAU Collection StartDt}}
|ProjectCollectionStopDate={{LAU Collection EndDt}}
|ProjectCollectionStopDate={{LAU Collection EndDt}}
|Project={{PAGENAME}}
}}
}}
This dataset contains data in support of the [[LAU Collection Project]] and regular data collection for both ICU and medicine programs.  
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.   
ACP status affects care decisions (and sometimes indecision) and therefore Length Of Stay and also outflow pathways.   


== similar dataset [[ACP Status Collection in ICU]] ==
See [[ACP Status Collection over time]] for related collection projects.


== Data Collection ==
== Data Collection ==
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* Do not collect multiple changes in the ACP status during the course of their hospitalization
* Do not collect multiple changes in the ACP status during the course of their hospitalization
, only as directed above.   
, only as directed above.   
=== Data Entry Instructions ===   
=== 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:  
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:  
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** ACP last
** ACP last
* '''Items''':  
* '''Items''':  
** [[ACP-C]]
** ACP-C
** ACP-M
** ACP-M
** ACP-R
** ACP-R
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** if a '''time is not available''', enter 12:00
** if a '''time is not available''', enter 12:00
* Checkbox, Integer, Real, Comment: not used
* Checkbox, Integer, Real, Comment: not used
**If there are multiple ACP status changes/family discussions that are affecting the LOS or seem unusual, leave this as a comment in the "Q" column, NOT the notes section


==== Sources ====
==== Sources ====
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* Admission sheets
* Admission sheets
* Progress notes
* Progress notes
* If a patient arrives from another facility, or transferred from another ward/service with an ACP status already documented use that as the first ACP status and the dttm would be the same as the first service dttm
 
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 ====
==== About the data ====
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== Log ==
== Log ==
* 2025-06-10 opening up collection for all medicine and ICU admissions
* 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.  
* 2025-03-15 - 2025-04-13: collection of data for LAUs as part of [[LAU Collection Project]]
 
* 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.  
* 2025-06-10 added to [[S tmp table]] for regular data collection
== 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: