Notes field: Difference between revisions

m Patients not yet discharged: tried to compartmentalize this discussion, please comment
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{{discussion}}
{{discussion}}
* Pagasa, Trish, or everyone, do you have other suggestions for this? [[User:Ttenbergen|Ttenbergen]] 16:19, 9 November 2010 (CST)
* Pagasa, Trish, or everyone, do you have other suggestions for this? [[User:Ttenbergen|Ttenbergen]] 16:19, 9 November 2010 (CST)
**I have no problem deleting information that is not pertinent to the data base prior to sending the completed ones--[[User:PStein|PStein]] 10:53, 10 November 2010 (CST)


=== Discharged or deceased patients not yet sent ===
=== Discharged or deceased patients not yet sent ===
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==== Up-to where/when collection is complete ====
==== Up-to where/when collection is complete ====
* where we have left off
{{discussion}}
{{discussion}}
* Some collectors use marks in the patient records to show where they have left off. This has caused problems in at least one location; is this how we should track progress? [[User:Ttenbergen|Ttenbergen]] 16:26, 9 November 2010 (CST)
*It's interesting that you'd like to know what method I use to keep track of how far I have gotten in a chart when doing reviews, since there has been a bit of controversy just this morning from one of our doc's regarding this very issue. It has been my practice to make a small mark with a yellow highlighter in the ''margin'' of the ipn (integrated progress notes) notes, at the last note that I have read. The next time I go back to review the chart, I look for the yellow highlighter mark. I have now had two of our doc's complain about the tiny unobtrusive mark. Any other suggestions that can be used that will keep our doc's happy, would be much appreciated. Thanks. [[User:DPageNewton|DPageNewton]] 17:46, 28 September 2010 (CDT)
** It's interesting that you'd like to know what method I use to keep track of how far I have gotten in a chart when doing reviews, since there has been a bit of controversy just this morning from one of our doc's regarding this very issue. It has been my practice to make a small mark with a yellow highlighter in the ''margin'' of the ipn (integrated progress notes) notes, at the last note that I have read. The next time I go back to review the chart, I look for the yellow highlighter mark. I have now had two of our doc's complain about the tiny unobtrusive mark. Any other suggestions that can be used that will keep our doc's happy, would be much appreciated. Thanks. [[User:DPageNewton|DPageNewton]] 17:46, 28 September 2010 (CDT)
* I seem to remember that some collectors use paper/forms to track how far they have progressed in collecting. Who, where? [[User:Ttenbergen|Ttenbergen]] 16:26, 9 November 2010 (CST)
* Some locations use the notes field to state how far they have collected. Who, where? [[User:Ttenbergen|Ttenbergen]] 16:26, 9 November 2010 (CST)


==== Which data needs to be reviewed or checked ====
==== Which data needs to be reviewed or checked ====
Use the Notes field to track data needs to be reviewed or checked
also to state if the diagnosis is not confirmed yet etc.
* what exactly needs to be entered, when a profile is only partially completed
* diagnosis is still unclear as they are waiting for further tests or results
* diagnosis is still unclear as they are waiting for further tests or results
** {{discussion}} should such a dx be entered and noted in notes, or '''not''' entered until confirmed and tracked in notes instead? [[User:Ttenbergen|Ttenbergen]] 16:26, 9 November 2010 (CST)


==== Supplemental data ====
==== Supplemental data ====
* track all lab and pharmacy manually, the notes save time in that it eliminates the need to go back & recount
* track all lab and pharmacy manually, the notes save time in that it eliminates the need to go back & recount.
* to clearly define some admit diagnoses-the ones that come up as other problems, other problems when you enter them
* to clearly define some admit diagnoses-the ones that come up as other problems, other problems when you enter them.
* to enter info on base creatinine, bmi, or other tidbits of info that are useful to know
* to enter info on base creatinine, bmi, or other tidbits of info that are useful to know.
** {{discussion}} How much of this extra data really makes collection easier? [[User:Ttenbergen|Ttenbergen]] 16:26, 9 November 2010 (CST)
* to define what exactly needs to be entered, when a profile is only partially completed.
 


[[Category: Data Collection Guide]]
[[Category: Data Collection Guide]]
[[Category: CCMDB.mdb]]
[[Category: CCMDB.mdb]]