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Pharmacy collection: Difference between revisions

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


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.
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.
Values entered over multiple lines will be added up before sending; a listing for the sum wasn't included due to space restrictions.


Be sure to collect all intravenous and oral preparations for each drug unless otherwise noted.  For example, if it only calls for intravenous infusion of opioids or lasix, etc. 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.
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 count the drugs specifically listed on the laptops (also listed on the wiki list). If 2 drugs are in the same category, only count one day for each category (don't double count).
Only collect the [[Drugs Collected | drugs]] specifically listed.  


=== Data Entry Hints ===
=== 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  
*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  
*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.  
*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.  
*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.
*you can change the date using the "+" and "-" buttons, and enter today's date using the "*" button


=== Data Collection Hints ===
=== 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.
*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.


=== Sending ===
=== multiple lines for different days collected ===
The Pharmacy items SENT in for each patient does not show up in your EXCEL sheet that opens when [[Sending | sending patients]]. You do not need to check that this data is being sent.
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 ([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.


== [[TISS]] / Pharm correlation  ==
=== oral/nasogastric tube drugs===
The following items on your pharmacy form should be confirmed against the corresponding items on the [[:Category:TISS|TISS]]:
Be sure to collect all intravenous and oral preparations for each drug unless otherwise noted (e.g. specified continuous infusions would be an exception).


*vasoactive drugs, heparin, antiarrythmic marked in your history notes and pharmacy form (Tiss items 67, 68& 69 )
{{Data Integrity Check List}}
*check that TISS # 76 or 77 is marked against the antibiotics on the MAR
*check that Tiss 71 is marked when pt had potassium via central line;
*check #70 is marked if patient is on Vasopressin.
{{discussion}} don't think this is added to the cleaner yet. Trish, let me know the priority of this. [[User:Ttenbergen|Ttenbergen]] 19:22, 2012 September 6 (CDT)
**we don't have this in cleaner. Since we are changing to new tTISS we should wait since some check will not be able to do.[[User:TOstryzniuk|Trish Ostryzniuk]] 11:09, 2012 September 7 (CDT)


== {{Data Integrity Rules}}  ==
== Legacy Info ==
* each patient has to have at least one line of no entries
* after 2012-09-25
* maximum count for any drug must be < LOS+2 if calculated using admit date/time & discharge date/time
** Reduced number of drugs collected in [[L Pharm Flowsheet table]]
**if excluding the admit & discharge'''time''' in this intergrity check, then (discharge date - admit date) + 1 day.[[User:TOstryzniuk|Trish Ostryzniuk]] 18:38, 2012 June 18 (CDT)
** started to collect some as yex/no boolean variables in [[L_Log table]]
Go here for this discussion:  [[http://ccmdb.kuality.ca/index.php?title=Requested_CCMDB_changes_for_the_next_version&diff=27120&oldid=27117  updated to this integrity check]]


== Dates / Startup / Legacy Info ==
* after 2012-01-01
*for patients admitted started after midnight January 1, 2012 and
** values collected into [[L Pharm Flowsheet table]]
*Stop collecting pharmacy the old way at the same time.
** HSC collects like other sites
*If a profile has some collected by the old method and some by the new method that is OK. Consolidation, if required, will happen behind the scenes.
** 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
*For HSC where no manual collection was done prior, the '''new admissions''' starting Jan 1, 2012 will have manual pharmacy collection with the new [[Pharm_Flow]] sheet.
*As of January 1, 2012 @ 0001 hrs, only the new [[Pharm Flow]] sheet for pharmacy will be used.


* prior to 2012-01-01
** HSC labs were imported
** other sites were all collected as counts in [[L_Pharm]] table


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


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