DeviceUse Study: Difference between revisions
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==Project | {{Project | ||
|ProjectActive=legacy | |||
|ProjectProgram=CC | |||
|ProjectRequestor=Unknown/legacy | |||
|ProjectCollectionStartDate=2011-01-01 | |||
|ProjectCollectionStopDate=2011-12-05 | |||
|Project={{PAGENAME}} | |||
}} | |||
Legacy only, see below for details | |||
DeviseUse Study (this is the spelling of the study in our program and on the wiki) | DeviseUse Study (this is the spelling of the study in our program and on the wiki) | ||
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==Who== | ==Who== | ||
Information to be collected from charts daily by Regional Database Team - Critical Care areas. | Information to be collected from charts daily by Regional Database Team - Critical Care areas. | ||
*Monitoring being done by the [[:Category:Critical Care QI Team | Critical Care QI Team | *Monitoring being done by the [[:Category:Critical Care QI Team | Critical Care QI Team]]. Members of the CCQI team will also provide ongoing support and feedback for issue related to collection of this data from chart. | ||
*Only the ICU's in the city will be collecting this information. No device use information will be collected at the CCU's at STB and HSC or the Cardiac ICU at STB. IICU will collect this data. | *Only the ICU's in the city will be collecting this information. No device use information will be collected at the CCU's at STB and HSC or the Cardiac ICU at STB. IICU will collect this data. | ||
*[[User: LKolesar|Laura Kolesar]] will be the lead data collector who will work with CCQI team, [[Statistician]] & [[User:Ttenbergen | Tina Tenbergen]] on matters related to this project. | *[[User: LKolesar|Laura Kolesar]] will be the lead data collector who will work with CCQI team, [[Statistician]] & [[User:Ttenbergen | Tina Tenbergen]] on matters related to this project. | ||
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==Instructions for collecting== | ==Instructions for collecting== | ||
* The focus is to '''determine number of days with each device while in the unit''' | * Exact time is not necessary, approximate time is OK. | ||
* The focus is to '''determine number of days with each device while in the unit''',but also we are tracking the number of times intubated during a stay. So all extubations and intubations need to be put in the list even if it is done the same day. | |||
* For each of the following devices, enter an in and out record or start and stop record for each device present: | * For each of the following devices, enter an in and out record or start and stop record for each device present: | ||
** on "in" or "start" record, tick off "present on admission" instead of entering a date if the device is present on admission | ** on "in" or "start" record, tick off "present on admission" instead of entering a date if the device is present on admission. The same goes for if the device is "present on discharge" You need to put the "out" or "stop" option and then tick off "present on discharge". To view this option, click on the "edit" button. | ||
*** if date is absent and the box is ticked , the Statistician will use the Admit Date/Time as the "in" or "start" date | |||
*** if date is present and is different from Admit Date/Time, there is no need to tick the box. | |||
** on "out" or "stop" record, tick off "present on discharge" instead of entering a date if the device is present on discharge | ** on "out" or "stop" record, tick off "present on discharge" instead of entering a date if the device is present on discharge | ||
*** if date is absent and the box is ticked , the Statistician will use the Discharge Date/Time as the "out" or "stop" date | |||
*** if date is present and is different from Discharge Date/Time, there is no need to tick the box. | |||
** devices: | ** devices: | ||
*** Central line (first in and last out) | *** Central line (first in and last out) | ||
**** doesn't matter how many central lines a patient has at the same time (hint: if helps to keep track by writing in the note section which line it is for your own benefit.) | **** doesn't matter how many central lines a patient has at the same time (hint: if helps to keep track by writing in the note section which line it is for your own benefit.) | ||
*** PICC line | *** PICC line when in and when out. | ||
*** ETT in & vent start, use this option if both are simultaneous (if not use individual options which have a "Z" in front) | *** ETT in & vent start, use this option if both are simultaneous (if not use individual options which have a "Z" in front) | ||
*** ETT out & vent stop, use this option if both are simultaneous (if not use individual options which have a "Z" in front) | *** ETT out & vent stop, use this option if both are simultaneous (if not use individual options which have a "Z" in front) | ||
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*** zVent stop and start is used if done independently of ETT in and out. | *** zVent stop and start is used if done independently of ETT in and out. | ||
**** If an '''unplanned extubation''' occurs enter a record for this in addition to documenting the ETT out/vent stop records | **** If an '''unplanned extubation''' occurs enter a record for this in addition to documenting the ETT out/vent stop records | ||
*** | *** Trach when in and when out. | ||
*** BIPAP/CPAP start and stop Changed title to BI/CPAP start/stop to make shorter | *** BIPAP/CPAP start and stop Changed title to BI/CPAP start/stop to make shorter | ||
**** Bipap is only used in non-ventilated, extubated patients. | **** Bipap is only used in non-ventilated, extubated patients. | ||
**** DC BIPAP will be defined as OFF bipap for >=24 hrs | **** DC BIPAP will be defined as OFF bipap for >=24 hrs | ||
**** Home bipap or cpap is included in this study. | **** Home bipap or cpap is included in this study. | ||
* If the device is '''removed or stopped for | * If the device is '''removed or stopped for more than one day''' and then a new device is used, a new set of entries is required to get an accurate duration for the device. | ||
*Each item must have a partner: For example if central line "in" is an option, then central line "out" must be entered. If it remains in after discharge then the box is ticked in the "out" option. "Start" items must be paired with "stop" items and "in" items must be paired with "out" items. When you send, if the paired items are not entered for your completed pts, you will get a list of errors when you check your pre-send checker. | *Each item must have a partner: For example if central line "in" is an option, then central line "out" must be entered. If it remains in after discharge then the box is ticked in the "out" option. "Start" items must be paired with "stop" items and "in" items must be paired with "out" items. When you send, if the paired items are not entered for your completed pts, you will get a list of errors when you check your pre-send checker. | ||
** Another example | ** Another example: when both "ETT in and Vent start" are simultaneous , then decided to stop the vent but kept the ETT in and then the ETT was removed later on another date, only 3 date_times should be recorded namely 1) ETT_in & Vent_start, 2) Zvent_stop, 3) ZETT_out. Despite only having 3 dates, the partners are satisfied (eg. ETT_in & vent_start will be partner for both Zvent_stop and ZETT_out). | ||
*** Example of Valid pairings | |||
****"ETT in and Vent start" and "ETT out and Vent stop" | |||
****"ETT in and Vent start" and "Zvent_stop" followed by "ZETT_out" | |||
****"ETT in" and "ETT out" | |||
****"ZVent start" and "ZVent stop" | |||
*** Example of NOT valid pairings | |||
****"ETT in and Vent start" and "ZETT_out" followed by "ZVent_stop" if without trach | |||
****"ETT in and Vent start" and "ZETT_out" only | |||
****"ETT in and Vent start" and "ZVent_stop" only | |||
****"ZETT in" and "ETT out and Vent stop" | |||
****"ZETT in" and "ZVent_stop" | |||
****"ZVent start" and "ETT out and Vent stop" | |||
****"ZVent start" and "ZETT out" | |||
*Call me if you are unclear about these rules and I will try to clarify. You can always Page me and I will respond ASAP. Pager 932-0653 if you need help on the spot with this. --[[User:LKolesar|LKolesar]] 07:06, 20 October 2011 (CDT) | *Call me if you are unclear about these rules and I will try to clarify. You can always Page me and I will respond ASAP. Pager 932-0653 if you need help on the spot with this. --[[User:LKolesar|LKolesar]] 07:06, 20 October 2011 (CDT) | ||
Further instructions will follow as we start working with this tool. Anyone can start trialing this any time because Tina has put it on the laptops. This only applies to critical care collectors. Feedback is welcomed as you start collecting this information. The actual project will start Jan 1, 2012 but you are expected to work with it on a trial basis somewhat before that date so that you are familiar with it and all the glitches can be worked out. | Further instructions will follow as we start working with this tool. Anyone can start trialing this any time because Tina has put it on the laptops. This only applies to critical care collectors. Feedback is welcomed as you start collecting this information. The actual project will start Jan 1, 2012 but you are expected to work with it on a trial basis somewhat before that date so that you are familiar with it and all the glitches can be worked out. | ||
*Can I assume that when a patient dies with any of the devices in, that we show them as if out when discharged?--[[User:Jpeterson|Jpeterson]] 09:51, 1 November 2011 (CDT) | |||
*Yes, that is correct. | |||
*You can either tick the box (present at discharge) if the devices were still left in when the pt went to the morgue, OR you can just put all devices out at the time of death. Julie knows at death that all devices are stopped. --[[User:LKolesar|LKolesar]] 11:09, 25 November 2011 (CST) | |||
==Start Date== | ==Start Date== | ||
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===Data collection=== | ===Data collection=== | ||
The actual start date of the project will be Jan 1, | The actual start date of the project will be Jan 1, 2011. | ||
==Stop Date== | ==Stop Date== | ||
Discontinued December 5, 2011 | |||
==Analysis== | ==Analysis== | ||
The [[Statistician]] will | The [[Statistician]] will derive the intermediate variables: | ||
*Invasive Mechanical Ventilator Days: The number of MV patients in the ICU at approximately the same time every day | *Invasive Mechanical Ventilator Days: The number of MV patients in the ICU at approximately the same time every day | ||
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*Number of PICC being used in our units compared to central lines as approximately half of the CLA-BSI in 2010 were associated with PICC. | *Number of PICC being used in our units compared to central lines as approximately half of the CLA-BSI in 2010 were associated with PICC. | ||
[[Category: QA | [[Category:QA]] | ||