Converting Lab Counts to CCI: Difference between revisions
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== | == Summary == | ||
Count in CCI pick or component as any other CCI | |||
* albumin5, 25% - on CCI (not 5 vs 25, and that's OK) | * albumin5, 25% - on CCI (not 5 vs 25, and that's OK) | ||
Packed cells - on CCI | * Packed cells - on CCI | ||
Platelets - on CCI | * Platelets - on CCI | ||
FFP - on CCI | * FFP - on CCI | ||
* CT - on picklist and comp2 | |||
CT - on picklist and comp2 | * MRI - on picklist and comp2 | ||
MRI - on picklist and comp2 | * US Echo - pick [[Echocardiogram of heart]] | ||
US Echo - | * US Abd - comp1 [[(I) Abdomen, Pelvis]]/[[(I) Digestive System, NOS]] comp2 [[Ultrasound]] - will this give us the "Abd" count we need | ||
US Abd - comp2 [[Ultrasound]] | |||
Code one line, count for duration, kind of like [[CCI Procedures coded once per ward admission]] | Code one line, count for duration, kind of like [[CCI Procedures coded once per ward admission]] | ||
*ABG - pick [[Blood gas, arterial]] | |||
ABG - pick [[Blood gas, arterial]] | *VBG - pick [[Blood gas, venous]] | ||
VBG - pick [[Blood gas, venous]] | |||
Questions: | |||
*CXR - CXR plain film - Laura says tedious, but would be nice to have daily - how common are these really | |||
== Related Articles == | == Related Articles == |
Revision as of 13:27, 2018 October 3
CCI would allow for the collection of most things we currently collect as counted labs (Category:Manually_collected_labs). This page is for the decision process whether we should go this route.
Pros of moving to CCI
- Consistent storage of information, i.e. stored with all other procedures
- more detail (e.g. do we mostly do a lab at admission, or right through stay?)
Cons of moving to CCI
time consuming
- It is much simpler and faster to count the number of CXR's, ABGs, and other tests in our lab counts than to put a CCI entry for each every day they are done. Also, anything that is currently on the tiss sheet should not have to be included in CCI at least for ICU. For example, CRRT and IHD is clearly marked on the tiss and which days are clearly shown. To have to enter in CCI all tests and procedures every single day they are done is not feasible within the time constraints of our EFT's in my opinion.--LKolesar 08:12, 2018 January 31 (CST)
- Laura did a test collection and found this to be much slower. Trish will coordinate more testing for this. Ttenbergen 12:52, 2018 May 9 (CDT)
losing some detail
- If we move lab counts to CCI we would likely lose the distinction between Albumin 25pct and Albumin 5pct. Discussed at Task and we don't think this would be a problem Ttenbergen 13:13, 2018 May 9 (CDT)
Questions and concerns
- Who is requesting dates for every single item? There are additional diagnostic procedures on this list that we previously did not count.
- At one time we did not add other diagnostic counts because the data was not requested.
- Is all this additional data being requested now? (ie: EEG's, abdominal xrays, nuclear scans, urodynamic study, cardiac stress test, pulmonary function tests, etc).
- We used to go the steering committee for requests for additional data collection items, has this now changed?
CXRs and scan counting in CCI concerns
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repeated CXRs - if we do collect them it will be a nuisance; if we don't they won't compare to the labs count CXR we are doing now, that this is supposed to replace. How should we proceed? |
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cryoprecipitate - Just checking if you wanted cryoprecipitate counts?-LKolesar 11:56, 2018 June 28
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- Do we have to enter a CXR for each day it is done or can we enter CXR once and then keep using the times feature?
- For longer stay patients this could be 50 entries.
- Why do we need to know what day a CXR was done on?
- What is wrong with using the lab count feature we now use? The same for blood gases and scans.--LBilesky 14:05, 2018 January 19 (CST)
- That is what is planned for now, but this might be worth talking about again to confirm it is worth it.
- Does the pt travel out of the unit for this?
- That is what is planned for now, but this might be worth talking about again to confirm it is worth it.
ABG/VBG counting in CCI & concerns
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repeated ABG/VBG counts - to many rows of data in CCI & lots of rows to scroll down to check what has been entered. time consuming. |
- I see arterial blood gases are on the picklist. However, Dr Garland had said that arterial blood gases and venous blood gases will remain in our count list unlike all the other things we count. Should arterial blood gases be removed from the CCI pick list?--LKolesar 13:29, 2018 April 9 (CDT)
- I have tested a few pts and included ABG/VBG counts.
- What is this being used for?
- Is the counting necessary? This is a time Counting is a time consuming task, besides counting now also entering dates.
- Example: I had 2 pts that had 50-100 ABG/VBG's to count and enter dates for. I found there was too many rows of data in addition to the CCI being collected, so lots to scroll through to check what I had entered. p:Joanna Velasco
data entry test to determine extra time it takes to enter
testing confirmed that this is tedious |
one patient that was in ICMS for 3 weeks
|
Summary
Count in CCI pick or component as any other CCI
- albumin5, 25% - on CCI (not 5 vs 25, and that's OK)
- Packed cells - on CCI
- Platelets - on CCI
- FFP - on CCI
- CT - on picklist and comp2
- MRI - on picklist and comp2
- US Echo - pick Echocardiogram of heart
- US Abd - comp1 (I) Abdomen, Pelvis/(I) Digestive System, NOS comp2 Ultrasound - will this give us the "Abd" count we need
Code one line, count for duration, kind of like CCI Procedures coded once per ward admission
- ABG - pick Blood gas, arterial
- VBG - pick Blood gas, venous
Questions:
- CXR - CXR plain film - Laura says tedious, but would be nice to have daily - how common are these really
Related Articles
Related articles: |