Minutes Team Meeting December 9, 2015: Difference between revisions

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#Data Analysis Process (Julie): Julie first outlined how she approaches the analysis of data. She went through 8 steps to demonstrate how this is done. Following this, Julie specifically discussed [[ER Wait]] in the Medicine program and some of the questionable date being observed. She asked for some feedback how staff may be coding. Julie provided what the "GOAL" is for the [[ER Wait]] Project:

*#to assess the delay in arrival to the ward form own ER and

*#for the direct admissions, to see the time (delay) ~~parked~~ in ER when the patient comes from other locations.

*#for the direct admissions, to see the time (delay) [[Parked in ER]] when the patient comes from other locations.

**#Julie gave examples of errors that have been made and emphasized the following:

*#ER admits: must have own ER as admit from location

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6 A case study was supplied by the Vic and Trish encouraged all staff to review on their own as we had time constraints for this meeting.

7 [[VAP - Ventilator Associated Pneumonia]] - [[Laura Kolesar]] reviewed the process for coding [[VAP]] for patients that are '''early pneumonia's''' that arrive in the ICU already intubated. Often cultures are not sent until after the patient has been ventilated for '''over''' 48 hours therefore, when the cultures are positive and all other criteria appear to be met, the data collector will code a VAP. This could be incorrect because the pneumonia process may have started within the first 48 hours of intubation therefore, this does not qualify as a VAP. There are guidelines on the wiki to follow as to having at least 2 criteria to determine if the infection has already started prior to the 48 hour ventilation time frame. If these are present, then it cannot be coded as a VAP. (It would be a CAP).

7 [[VAP - Ventilator Associated Pneumonia]] - [[p:Laura Kolesar]] reviewed the process for coding [[VAP]] for patients that are '''early pneumonia's''' that arrive in the ICU already intubated. Often cultures are not sent until after the patient has been ventilated for '''over''' 48 hours therefore, when the cultures are positive and all other criteria appear to be met, the data collector will code a VAP. This could be incorrect because the pneumonia process may have started within the first 48 hours of intubation therefore, this does not qualify as a VAP. There are guidelines on the wiki to follow as to having at least 2 criteria to determine if the infection has already started prior to the 48 hour ventilation time frame. If these are present, then it cannot be coded as a VAP. (It would be a CAP).

*Look back not just at +ve sputum culture. if onset of symptoms are BEFORE +ve cultures - then not a VAP. Need at least 2 criteria before start of infection (+ve culture).

**{{discussion}} did that go into [[VAP - Ventilator Associated Pneumonia]]? Ttenbergen 20:04, 2016 January 4 (CST)

***Laura? thanks.--[[User:TOstryzniuk|Trish Ostryzniuk]] 16:30, 2016 January 27 (CST)

****I read the VAP guidelines and they have been included [[VAP- Ventilator Associated Pneumonia]] [[User:Lkaita|Lisa Kaita]] 10:28, 2017 May 5 (CDT)

[[Category: Minutes 2015]]

[[Category:Minutes 2015]]

@@ Line 8: / Line 8: @@
 #Data Analysis Process (Julie):   Julie first outlined how she approaches the analysis of data.  She went through 8 steps to demonstrate how this is done.  Following this, Julie specifically discussed [[ER Wait]] in the Medicine program and some of the questionable date being observed. She asked for some feedback how staff may be coding. Julie provided what the "GOAL" is for the [[ER Wait]] Project:
 *#to assess the delay in arrival to the ward form own ER and
-*#for the direct admissions, to see the time (delay) parked in ER when the patient comes from other locations.
+*#for the direct admissions, to see the time (delay) [[Parked in ER]] when the patient comes from other locations.
 **#Julie gave examples of errors that have been made and emphasized the following:
 *#ER admits: must have own ER as admit from location
@@ Line 15: / Line 15: @@
 A case study was supplied by the Vic and Trish encouraged all staff to review on their own as we had time constraints for this meeting.
-[[VAP - Ventilator Associated Pneumonia]] - [[Laura Kolesar]] reviewed the process for coding [[VAP]] for patients that are '''early pneumonia's''' that arrive in the ICU already intubated.  Often cultures are not sent until after the patient has been ventilated for '''over''' 48 hours therefore, when the cultures are positive and all other criteria appear to be met, the data collector will code a VAP.   This could be incorrect because the pneumonia process may have started within the first 48 hours of intubation therefore, this does not qualify as a VAP.   There are guidelines on the wiki to follow as to having at least 2 criteria to determine if the infection has already started prior to the 48 hour ventilation time frame.   If these are present, then it cannot be coded as a VAP.  (It would be a CAP).
+[[VAP - Ventilator Associated Pneumonia]] - [[p:Laura Kolesar]] reviewed the process for coding [[VAP]] for patients that are '''early pneumonia's''' that arrive in the ICU already intubated.  Often cultures are not sent until after the patient has been ventilated for '''over''' 48 hours therefore, when the cultures are positive and all other criteria appear to be met, the data collector will code a VAP.   This could be incorrect because the pneumonia process may have started within the first 48 hours of intubation therefore, this does not qualify as a VAP.   There are guidelines on the wiki to follow as to having at least 2 criteria to determine if the infection has already started prior to the 48 hour ventilation time frame.   If these are present, then it cannot be coded as a VAP.  (It would be a CAP).
 *Look back not just at +ve sputum culture.  if onset of symptoms are BEFORE +ve cultures - then not a VAP.  Need at least 2 criteria before start of infection (+ve culture).
-**{{discussion}} did that go into [[VAP - Ventilator Associated Pneumonia]]? Ttenbergen 20:04, 2016 January 4 (CST)
-***Laura?  thanks.--[[User:TOstryzniuk|Trish Ostryzniuk]] 16:30, 2016 January 27 (CST)
-****I read the VAP guidelines and they have been included [[VAP- Ventilator Associated Pneumonia]]  [[User:Lkaita|Lisa Kaita]] 10:28, 2017 May 5 (CDT)
-[[Category: Minutes 2015]]
+[[Category:Minutes 2015]]