Overstay Predictor Project Collection Instructions: Difference between revisions
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This article explains how to collect data in the [[CCMDB.mdb]] for the [[Overstay Predictor Project]]. | This article explains how to collect data in the [[CCMDB.mdb]] for the [[Overstay Predictor Project]]. | ||
For every '''medicine''' patient admitted to a ward participating in the project, '''as soon as possible''', but definitely '''within 48 business hrs of admission''' the data collector will need to enter the data in the [[Media:Nursing_Discharge_Screening_Tool Nursing_Discharge_Screening_Tool.pdf|Nursing Discharge Screening Tool | For every '''medicine''' patient admitted to a ward participating in the project, '''as soon as possible''', but definitely '''within 48 business hrs of admission''' the data collector will need to enter the data in the [[Media:Nursing_Discharge_Screening_Tool Nursing_Discharge_Screening_Tool.pdf|Nursing Discharge Screening Tool]] into the [[CCMDB.mdb]], enter a certain amount of regular data early to generate a colour, put a sticker of that colour onto the chart, and in case of certain colours notify the transition coordinator. | ||
== The Nursing Discharge Screening Tool == | == The Nursing Discharge Screening Tool == | ||
Find the white [[Media: | Find the white [[Media:Nursing_Discharge_Screening_Tool.pdf|Nursing Discharge Screening Tool]] | ||
with the admission documentation on the patient chart and check if there is either a yes or no for all the first 6 questions. Also collect the patients living arrangements from the form. (Home, Nursing home, Assisted Living). | with the admission documentation on the patient chart and check if there is either a yes or no for all the first 6 questions. Also collect the patients living arrangements from the form. (Home, Nursing home, Assisted Living). | ||
The form is to be completed within 24 hours of all new admissions to hospital and patients transferred to the unit without a previously completed Nursing Discharge Screening Tool. If it is not possible at time of admission, the admitting nurse will pass the responsibility for completion to the next duty nurse. | The form is to be completed within 24 hours of all new admissions to hospital and patients transferred to the unit without a previously completed ''Nursing Discharge Screening Tool''. If it is not possible at time of admission, the admitting nurse will pass the responsibility for completion to the next duty nurse. | ||
The nurse can update the form within the first 24 hours after admission if, for example they receive information from the patients family that contradicts the patients answers. It is possible that depending on when you review that document these changes are not captured. This a known risk that we are accepting. | The nurse can update the form within the first 24 hours after admission if, for example they receive information from the patients family that contradicts the patients answers. It is possible that depending on when you review that document these changes are not captured. This a known risk that we are accepting. | ||
=== ensuring completeness within 24 hrs === | === ensuring completeness within 24 hrs === | ||
The bedside nurses have 24 hours from the time of [http://ccmdb.kuality.ca/index.php/Admit,_Transfer_and_Discharge_date_and_time#Definition_for_Medicine| admission to the unit] to fill out the Nurse Discharge | The bedside nurses have 24 hours from the time of [http://ccmdb.kuality.ca/index.php/Admit,_Transfer_and_Discharge_date_and_time#Definition_for_Medicine| admission to the unit] to fill out the ''Nurse Discharge Screening Tool''. This time frame allows for the nurse to clarify unanswered questions with the patient or caregivers during the day. | ||
'''If you can't find the form or an answer is still missing 24 hrs after admission:''': | '''If you can't find the form or an answer is still missing 24 hrs after admission:''': | ||
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=== entering the data === | === entering the data === | ||
Within two business days after the bedside nurse has completed the ''Discharge Screening Tool'' the rest of the Predictor data must be collected. For the first 6 questions on the form, create a record for each in tmp entries and check the check box if the answer is Yes. | Within two business days after the bedside nurse has completed the ''Nurse Discharge Screening Tool'' the rest of the Predictor data must be collected. For the first 6 questions on the form, create a record for each in tmp entries and check the check box if the answer is Yes. | ||
*If any answer is ''No'' include a tmp entry indicating where the patient lives. This information can be found on the form as answer number 1 under the '''General Information''' ''Living Arrangements?''. The purpose is to exclude patients currently living in a personal care home from being assigned a transition coordinator since these patients infrequently overstay. | *If any answer is ''No'' include a tmp entry indicating where the patient lives. This information can be found on the form as answer number 1 under the '''General Information''' ''Living Arrangements?''. The purpose is to exclude patients currently living in a personal care home from being assigned a transition coordinator since these patients infrequently overstay. | ||
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Take answers to questions directly from the form, no interpretation, even if you disagree after reading the chart. We will be testing the answers provided by the nurses to determine if they are a better predictor of transition support needs or can be used in conjunction with existing admission data to improve the effectiveness of the prediction tool. If the data were interpreted by the collector it would introduce another factor and make this test less valid. If you identify a discrepancy please note it in the Temp Comments field also known as column Q. | Take answers to questions directly from the form, no interpretation, even if you disagree after reading the chart. We will be testing the answers provided by the nurses to determine if they are a better predictor of transition support needs or can be used in conjunction with existing admission data to improve the effectiveness of the prediction tool. If the data were interpreted by the collector it would introduce another factor and make this test less valid. If you identify a discrepancy please note it in the Temp Comments field also known as column Q. | ||
If the patient is transferred from one medical unit to another within the facility only the one ''Discharge Screening Tool'' is required and the original Green Yellow Yes designation is retained. You do not need to collect the information from the ''Discharge Screening Tool'' or create new temp files. The Patient does need to be assigned to a Transition Coordinator. | If the patient is transferred from one medical unit to another within the facility only the one ''Nurse Discharge Screening Tool'' is required and the original Green Yellow Yes designation is retained. You do not need to collect the information from the ''Nurse Discharge Screening Tool'' or create new temp files. The Patient does need to be assigned to a Transition Coordinator. | ||
==== how to enter if nurse form data missing ==== | ==== how to enter if nurse form data missing ==== | ||