APACHE physiological variable collection: Difference between revisions

m Patient DIED shortly after arriving in unit: use default as listed in that field, don't want duplication here...
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=== Exceptionally high or low values ===
=== Exceptionally high or low values ===
[[CCMDB.mdb]] has error checks for values that are ''unlikely'' high or low to prevent errors. The ranges were determined by the [[statistician]] based on previous data(see abs min and abs max in [[APACHE_Scoring_table]]). To keep the checks meaningful the threshold values will not be changed for extreme outliers.   
[[CCMDB.accdb]] has error checks for values that are ''unlikely'' high or low to prevent errors. The ranges were determined by the [[statistician]] based on previous data(see abs min and abs max in [[APACHE_Scoring_table]]). To keep the checks meaningful the threshold values will not be changed for extreme outliers.   


For values outside the '''"warning" limit''', you must '''enter the reason''' for this into the [[Notes field]] so that we can validate that these were not errors. <!-- as of [[CCMDB.mdb_Change_Log_2011#ver_2011-05-04]] -->
For values outside the '''"warning" limit''', you must '''enter the reason''' for this into the [[Notes field]] so that we can validate that these were not errors. <!-- as of [[CCMDB.mdb_Change_Log_2011#ver_2011-05-04]] -->
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If a specific physiological variable is '''not''' available during the first 24 hours when admitted to ICU then select a value closest to the time '''prior to''' admission to the unit, (max 24 hrs prior to admission). Make a note in your [[Notes field]] and record date time and location this variable was obtained from (e.g. ER or ward).  
If a specific physiological variable is '''not''' available during the first 24 hours when admitted to ICU then select a value closest to the time '''prior to''' admission to the unit, (max 24 hrs prior to admission). Make a note in your [[Notes field]] and record date time and location this variable was obtained from (e.g. ER or ward).  


If no information is available, then assume it was not tested because it was normal.  Record the midpoint of the normal range for this value, which will generate a normal APACHE score for this item. The midpoint of each normal range can be found by double-clicking on the Apache score for the field in CCMDB.mdb.
If no information is available, then assume it was not tested because it was normal.  Record the midpoint of the normal range for this value, which will generate a normal APACHE score for this item. The midpoint of each normal range can be found by double-clicking on the Apache score for the field in [[CCMDB.accdb]].


== Patient DIED shortly after arriving in unit ==
== Patient DIED shortly after arriving in unit ==