Pharmacy collection: Difference between revisions

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these instructions are to come into effect 2012-01-01
The Critical Care Database collects [[Drugs Collected]] for '''critical care patients'''. The Medicine Program does '''not''' collect any pharmacy information.
please test as you get a chance!


*Collect pharmacy data for '''critical care patients''' admitted after midnight 2012-01-01 into the Pharmacy Flowsheet.
== How to enter the data ==
*Stop collecting pharmacy the old way at the same time. 
In the [[Patient viewer]], go to the [[Patient Viewer Tab Pharm_Flow]].  
*If a profile has some collected by the old method and some by the new method that is OK.  They will be additive. 
*As of Jan 1, 2012 @ 0001 hrs, only the new flowsheet for pharmacy will be used.


The Data Collector in the Medicine Program do '''not''' collect any pharmacy information.  
For the drugs listed in the row with a date at the start, enter the '''number of days''' for which a [[Drugs Collected | drug]] was given.


{{discussion}}
For the drugs with check boxes, check the box if the drug was given '''even once during the admission'''. These drugs are not counted.
'''what does a new collector need to know to collect pharmacy correctly?'''[[User:Ttenbergen|Ttenbergen]] 19:13, 8 December 2011 (CST)


== How to enter the data ==
Only collect the [[Drugs Collected | drugs]] specifically listed.  
In the [[Patient viewer]], go to the Pharm_flow tab. Enter the '''number of days''' for which a drug was given '''(not collecting doses any longer)'''.  


=== Data Entry Hints ===
*double-click into a cell to up it by 1 (or in case of 0/1 drugs, to toggle between 0 and 1
*hover over a cell to get a popup with the drugs that are part of any of the groups we collect
*today's date automatically is put into the line when you enter a new line. This also helps to keep track of when you last counted drugs.
*you can change the date using the "+" and "-" buttons, and enter today's date using the "*" button
=== Data Collection Hints ===
*When reviewing the MAR for all drugs or flow sheets for infusions you may find it helpful to make a pencil mark after the drugs you have counted up to so that when you look at it again, the same drugs are not duplicate counted.
=== multiple lines for different days collected ===
To provide functionality similar to paper flow sheets you can add a line per day of collection. It is not mandatory to use multiple lines, the functionality is there only for data collector convenience.
You don't need to list entries for a given day, the lines are there only allow you to break down your work if a patient stays for a long time.  
You don't need to list entries for a given day, the lines are there only allow you to break down your work if a patient stays for a long time.  
Values entered over multiple lines will be added up before sending; a listing for the sum wasn't included due to space restrictions.
=== no double-counting ===
* If 2 drugs are in the same category, only count one day for each category (don't double count).
* If a patient is on a combination of oral and intravenous for the same drug, only count the drug once per day regardless of administration route.
=== No PCA  ===
Do not collect drugs administered via PCA ([https://secure.wikimedia.org/wikipedia/en/wiki/Patient-controlled_analgesia Patient-controlled analgesia]) which is intermittent. As discussed and agreed by ICU task team - Dr. Allan Garland.
=== No epidural or intravertebral administration ===
We do not collect epidural or intravertebral.


===Hints===
=== oral/nasogastric tube drugs===
* double-click into a cell to up it by 1 (or in case of 0/1 drugs, to toggle between 0 and 1
Be sure to collect all intravenous and oral preparations for each drug unless otherwise noted (e.g. specified continuous infusions would be an exception).
* hover over a cell to get a popup with the drugs that are part of any of the groups we collect
* When reviewing the MAR for all drugs or flow sheets for infusions you may find it helpful to make a pencil mark after the drugs you have counted up to so that when you look at it again, the same drugs are not duplicate counted.  
* The date automatically is put into the line when you enter a number under the specific drugs. This also helps to keep track of when you last counted drugs.
* For the blue colored drugs you only need to put a "1" in the box (or double-click the box) if it ever was used during the patient stay.  If it is left blank it means it was not used.  We do not need the number of days for these specific drugs.


== Drugs Collected ==
{{Data Integrity Check List}}
see [[Drugs Collected]]


== TISS / Pharm corellation ==
== Legacy Info ==
The following items on your pharmacy form should be confirmed against the corresponding items on the [[:Category:TISS|TISS]]:
* after 2012-09-25
* inotropes, heparin, antiarrythmic marked in you history notes and pharmacy form (Tiss items 67, 68& 69 )
** Reduced number of drugs collected in [[L Pharm Flowsheet table]]
* check that TISS # 76 or 77 is marked against the antibiotics on the MAR
** started to collect some as yex/no boolean variables in [[L_Log table]]
* check that Tiss 71 is marked when pt had potassium via central line;
* check #70 is marked if patient is on Vasopressin.
=== discussion ===
{{discussion}} '''which of these are still relevant? pls. just remove ones that no longer are.'''[[User:Ttenbergen|Ttenbergen]] 19:02, 8 December 2011 (CST)
* What do we do if a person is on a IV PPI  and an oral is a double count or a single? The same for any drug in the same category given the same day.
*We just need the number of days for a category regardless of which drugs were given.  If they were on one PPI or two it doesn't matter, just count the days on any PPI.--[[User:LKolesar|LKolesar]] 15:40, 20 December 2011 (CST)
* Are we just counting IV antibiotics or both IV and oral? What about everything else IV and oral all collected?
*IV and oral are collected unless specifically indicated like IV infusion of opioids for example.--[[User:LKolesar|LKolesar]] 15:40, 20 December 2011 (CST)
**If I enter my drug counts on a new line on a daily basis (rather than at the end of a patients stay), will the program add up the number of treatment days (like the lab sheets)..or do we have to add/total as we enter??  Could the date line have a "+/-" button so we can change the date to match our date of collection? [[User:Mlaporte|Mlaporte]] 09:17, 20 December 2011 (CST)
**I asked Tina and she said she didn't put the line to total(as in labs) because there is no space.  However the lines will total.  She will look into putting the + or- button when she returns from her vacation in January.  Need to manually put in date till then.  --[[User:LKolesar|LKolesar]] 15:40, 20 December 2011 (CST)
***You do not need to change any prior entries for patients admitted prior to Jan 1, 2012, but stop collecting the old way on everyone after Jan 1.  Any pharmacy collection after Jan 1 on all patients should be the new way.  Some patients will end up having a portion of old entries (up to Jan 1) and new pharmacy entries after this.  That is OK, the data will be cumulative.  I hope this helps to clarify.--[[User:LKolesar|LKolesar]] 12:54, 23 December 2011 (CST)


== temp note - delete after Dec 2011 ==
* after 2012-01-01
Streptomycin was initially listed as to-be-collected for both aminoglycosides and anti-tb drugs; discussed with Dr. Garland and we will collect this only under anti-TB drugs. [[User:Ttenbergen|Ttenbergen]] 16:09, 9 December 2011 (CST)
** values collected into [[L Pharm Flowsheet table]]
** HSC collects like other sites
** change-over based on date of drug, so for profiles that straddle the change date some data could be in old and in new setup


== Data Integrity Checks ==
* prior to 2012-01-01
None as of now, but I will add some as we get used to this. For example:
** HSC labs were imported
* each patient has to have at least one line of no entries
** other sites were all collected as counts in [[L_Pharm]] table


== things to finish before go-live ==
== Related articles ==  
* inform Pagasa of change in process, update [[Pharmacy Collection HSC]]
{{Related Articles}}
* inform HSC Pharmacy of change in process, update [[Pharmacy Collection HSC]]
** ICU task group decided to delay this for the time being [[User:Ttenbergen|Ttenbergen]] 16:22, 14 December 2011 (CST)


[[Category: Pharmacy | *]]
[[Category:Pharmacy| *]]

Latest revision as of 10:28, 2022 February 17

The Critical Care Database collects Drugs Collected for critical care patients. The Medicine Program does not collect any pharmacy information.

How to enter the data

In the Patient viewer, go to the Patient Viewer Tab Pharm_Flow.

For the drugs listed in the row with a date at the start, enter the number of days for which a drug was given.

For the drugs with check boxes, check the box if the drug was given even once during the admission. These drugs are not counted.

Only collect the drugs specifically listed.

Data Entry Hints

  • double-click into a cell to up it by 1 (or in case of 0/1 drugs, to toggle between 0 and 1
  • hover over a cell to get a popup with the drugs that are part of any of the groups we collect
  • today's date automatically is put into the line when you enter a new line. This also helps to keep track of when you last counted drugs.
  • you can change the date using the "+" and "-" buttons, and enter today's date using the "*" button

Data Collection Hints

  • When reviewing the MAR for all drugs or flow sheets for infusions you may find it helpful to make a pencil mark after the drugs you have counted up to so that when you look at it again, the same drugs are not duplicate counted.

multiple lines for different days collected

To provide functionality similar to paper flow sheets you can add a line per day of collection. It is not mandatory to use multiple lines, the functionality is there only for data collector convenience. You don't need to list entries for a given day, the lines are there only allow you to break down your work if a patient stays for a long time. Values entered over multiple lines will be added up before sending; a listing for the sum wasn't included due to space restrictions.

no double-counting

  • If 2 drugs are in the same category, only count one day for each category (don't double count).
  • If a patient is on a combination of oral and intravenous for the same drug, only count the drug once per day regardless of administration route.

No PCA

Do not collect drugs administered via PCA (Patient-controlled analgesia) which is intermittent. As discussed and agreed by ICU task team - Dr. Allan Garland.

No epidural or intravertebral administration

We do not collect epidural or intravertebral.

oral/nasogastric tube drugs

Be sure to collect all intravenous and oral preparations for each drug unless otherwise noted (e.g. specified continuous infusions would be an exception).

Data Integrity Checks (automatic list)

 AppStatus
Check Sub PharmCheckCCMDB.accdbimplemented
Query check CCI TISS Pharm VasoactiveCCMDB.accdbimplemented

Legacy Info

  • after 2012-01-01
    • values collected into L Pharm Flowsheet table
    • HSC collects like other sites
    • change-over based on date of drug, so for profiles that straddle the change date some data could be in old and in new setup
  • prior to 2012-01-01
    • HSC labs were imported
    • other sites were all collected as counts in L_Pharm table

Related articles

Related articles:
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