Query check CCI each count vs LOS: Difference between revisions

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‎We have had some medical imaging lab count entries that are so high that they are likely errors. This check is supposed to do that.
{{Data Integrity Check
|DIC_summary=Confirm that a [[:Category:Labs Imaging]] count is not unreasonably high
|DIC_related_concepts=Blood gas, venous; Blood gas, arterial; CXR (plain film); Angiogram, aortic (any part of aorta); Angiogram, coronary (diagnostic cardiac catheterization); ECHO (echocardiogram of heart); Cardiac CT or Cardiac CT angiogram (with or without coronary arteries); Cardiac MRI; Cardiac nuclear scan (e.g. MUGA); Angiogram, cerebral (including vertebral arteries); CT of chest with PE protocol (CT angiogram of pulmonary vessels); Angiogram, artery NOS (except specifically coded); Angiogram, vein; Angiogram, pulmonary artery (pulmonary arteriogram); AXR (abdominal plain X-ray); LOS
|DIC_firmness=soft check
|DIC_timing=complete
|DIC_coding=query ''check_CCI_each_count_vs_LOS''
|DIC_status=needs review
|DIC_app=CCMDB.accdb
|DIC_backlogged=No
}}
We have had some CCI count entries that are so high that they are likely errors.


=== What are likely maximum entries? ===
=== CCI codes considered ===
{{#ask: [[Has CCI Picklist Code::2.ZZ.13.RA||2.ZZ.13.RE||3.GY.10.VA||3.ID.10.V^||3.IP.10.V^||3.IP.30||3.IP.20||3.IP.40||3.IP.70||3.JM.10.V^||3.JY.20||3.KV.10.VX||3.KX.10.VC||3.IM.10.V^||3.OT.10.VA]]
|?Has CCI Picklist Code=Code
|?Has CCI Collection Mode=Collection mode
|sort=Has CCI Collection Mode,Has CCI Picklist Code
|order=asc,asc
}}


The count per patient stay is related to the [[LOS]].  
== Checks ==
This uses [[Function LOS()]] to calculate the [[LOS]].  


The threshold will be combination of Mean + 3 Standard Deviation  or Maximum value of Chest X-ray count per patient day depending on the LOS  based on calendar dates (i.e. partial stay is considered as  full day)
=== [[Template:CCI collect count each|CCI collect count each]] and [[Template:CCI collect each|CCI collect each]] ===
These should be checked.  


*LOS based on calendar dates = Dispo Date - Arrival Date + 1
=== [[Template:CCI collect count days|CCI collect count days]] ===
** if patient is still in the unit, replace Dispo Date by Today date
Implemented by [[query check_CCI_vs_LOS_count_days_component]] and [[query check_CCI_vs_LOS_count_days_picklist]].
*Chest X-ray (CXR) per patient day = Number of chest X-rays / LOS Based on calendar dates


{| class="wikitable sortable"
=== [[Template:CCI collect count units|CCI collect count units]] ===
! LOS_days !! N !! Mean !! Std Dev !! Minimum !! Median !! 75th Pctl !! 90th Pctl !! 95th Pctl !! 99th Pctl !! Maximum !! mean + 3 Std Dev !! Limits of CXR per patient day
Discussed with Julie that this one is likely uncheckable. [[User:Ttenbergen|Ttenbergen]] 15:47, 2021 September 2 (CDT)
|-
||1    ||4021||1.16||0.42||1||1||1||2||2||3||5||2.42||5
|-
||2    ||23910||0.83||0.31||0.5||1||1||1||1.5||2||4||1.76||4
|-
||3-10  ||52600||0.64||0.34||0.1||0.67||0.88||1||1.25||1.6||3||1.66||3
|-
||11-20||7784||0.7||0.31||0.05||0.71||0.92||1.09||1.19||1.42||2.47||1.63||2
|-
||21-30||1870||0.68||0.3||0.03||0.69||0.9||1.05||1.14||1.36||2.57||1.58||2
|-
||31-40||660||0.62||0.3||0.03||0.64||0.84||1||1.09||1.32||1.67||1.52||2
|-
||41-50||311||0.54||0.29||0.02||0.53||0.73||0.93||1.02||1.21||1.58||1.41||2
|-
||51-100||347||0.41||0.26||0.02||0.38||0.6||0.76||0.85||1.12||1.2||1.19||1
|-
||> 100||101||0.19||0.21||0.01||0.11||0.2||0.48||0.73||0.88||1.09||0.82||1
|-
|}


=== How the checks will work===
== Log ==
* 2024-04-24 -
** implemented LOS <7 and count >10 (i.e. double digits, because that's a likely fumble finger mistake)
** initially this was supposed to be for CXR, then general imaging, now all sorts of CCI entries
* 2022-02-10 - confirmed that this would not be affected by the change of including a time in the [[Px Date]]
* 2022-01-19 - Julie confirmed that we don't need to check this per [[Boarding Loc]] - per profile is enough (especially since it's a soft check)


At the time you set the patient to complete a check will run to find out if any of the ‎imaging counts are out of range. If none are you won't see this. If a check is out of range you will get an error, and then a list showing the out of range value.
== Related articles ==
Confirm if the value is correct. If it is wrong, fix it. If it is correct and the count was in fact unusually high, then enter a lower number and sent Pagasa an email with the correct count.
{{Related Articles}}


 
[[Category:Labs]]
[[category:Labs]]
[[Category:Length of stay]]
[[Category:CCI Px check]]
[[Category:Data Integrity Checks]]

Latest revision as of 16:50, 2024 April 24

Data Integrity Checks
Summary: Confirm that a Category:Labs Imaging count is not unreasonably high
Related: Blood gas, venous, Blood gas, arterial, CXR (plain film), Angiogram, aortic (any part of aorta), Angiogram, coronary (diagnostic cardiac catheterization), ECHO (echocardiogram of heart), Cardiac CT or Cardiac CT angiogram (with or without coronary arteries), Cardiac MRI, Cardiac nuclear scan (e.g. MUGA), Angiogram, cerebral (including vertebral arteries), CT of chest with PE protocol (CT angiogram of pulmonary vessels), Angiogram, artery NOS (except specifically coded), Angiogram, vein, Angiogram, pulmonary artery (pulmonary arteriogram), AXR (abdominal plain X-ray), LOS
Firmness: soft check
Timing: complete
App: CCMDB.accdb
Coding: query check_CCI_each_count_vs_LOS
Uses L Problem table: not relevant for this app
Status: needs review
Implementation Date: not entered
Backlogged: No
  • Cargo


  • SMW


  • Categories: 
  • form:

We have had some CCI count entries that are so high that they are likely errors.

CCI codes considered

 CodeCollection mode
Blood gas, venous2.ZZ.13.RACCI collect count each
Blood gas, arterial2.ZZ.13.RECCI collect count each
CXR (plain film)3.GY.10.VACCI collect count each
AXR (abdominal plain X-ray)3.OT.10.VACCI collect count each
Angiogram, aortic (any part of aorta)3.ID.10.V^CCI collect each
Angiogram, pulmonary artery (pulmonary arteriogram)3.IM.10.V^CCI collect each
Angiogram, coronary (diagnostic cardiac catheterization)3.IP.10.V^CCI collect each
Cardiac CT or Cardiac CT angiogram (with or without coronary arteries)3.IP.20CCI collect each
ECHO (echocardiogram of heart)3.IP.30CCI collect each
Cardiac MRI3.IP.40CCI collect each
Cardiac nuclear scan (e.g. MUGA)3.IP.70CCI collect each
Angiogram, cerebral (including vertebral arteries)3.JM.10.V^CCI collect each
CT of chest with PE protocol (CT angiogram of pulmonary vessels)3.JY.20CCI collect each
Angiogram, artery NOS (except specifically coded)3.KV.10.VXCCI collect each
Angiogram, vein3.KX.10.VCCCI collect each

Checks

This uses Function LOS() to calculate the LOS.

CCI collect count each and CCI collect each

These should be checked.

CCI collect count days

Implemented by query check_CCI_vs_LOS_count_days_component and query check_CCI_vs_LOS_count_days_picklist.

CCI collect count units

Discussed with Julie that this one is likely uncheckable. Ttenbergen 15:47, 2021 September 2 (CDT)

Log

  • 2024-04-24 -
    • implemented LOS <7 and count >10 (i.e. double digits, because that's a likely fumble finger mistake)
    • initially this was supposed to be for CXR, then general imaging, now all sorts of CCI entries
  • 2022-02-10 - confirmed that this would not be affected by the change of including a time in the Px Date
  • 2022-01-19 - Julie confirmed that we don't need to check this per Boarding Loc - per profile is enough (especially since it's a soft check)

Related articles

Related articles:
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