TISS28 collection Survey January 7, 2013: Difference between revisions

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==CON==

I am just starting to look at Jan admit/discharges. I have not done the Tiss quality checks for any of these charts but for the 6 pts discharged the bedside nurses' incompletion of the TISS is still an issue--5 of 6 charts had 0-35% of the TISS days filled in.

Jan 22-Completion of the TISS is improving at the CON; but still issues of missed days (ex.first day on the TISS is the pt's fourth day in ICU --not done for the first three days,last day missed,etc.) The educator is drafting a memo addressing this issue.

*Jan 22-Completion of the TISS is improving at the CON; but still issues of missed days (ex.first day on the TISS is the pt's fourth day in ICU --not done for the first three days,last day missed,etc.) The educator (Jason Trottier) is drafting a memo addressing this issue.

*I am finding that the quality checks are difficult for some of the items:

**CAM +ve is being filled in as present with no documentation on the chart if pt CAM +/- or unable to do.

*'''#9 CAM +ve'''- is being filled in as present with no documentation on the chart if pt CAM +/- or unable to do.

***Incentive spirometry being filled in-no documentation on the chart if done or not.

*'''#25 Incentive spirometry''' being filled in-no documentation on the chart if done or not.

****IF we find that the documentation is not there to validate the entry; do we leave the entry while doing our quality checks? Do we assume the nurse who filled in the TISS item did indeed do the task/assessment?[[User:Mlaporte|Mlaporte]] 11:54, 2013 January 22 (EST)

**IF we find that the documentation is not there to validate the entry; do we leave the entry while doing our quality checks? Do we assume the nurse who filled in the TISS item did indeed do the task/assessment?[[User:Mlaporte|Mlaporte]] 11:54, 2013 January 22 (EST)

*****Hi, good you are checking and providing feedback to educator so that they can inform & educate staff however, the expectation is not for the data collector to check and make sure every single item marked on the TISS is also in chart for every single patient. Random intermittent spot checks on fields like this are okay to do. You have to assume if they marked it, it is correct, don't want to to verify every single item. Will have to discuss to what degree QI checking should be done so it is done the same at each site.[[User:TOstryzniuk|Trish Ostryzniuk]] 13:29, 2013 January 22 (EST)

***Hi, good you are checking and providing feedback to educator so that they can inform & educate staff however, the expectation is not for the data collector to check and make sure every single item marked on the TISS is also in chart for every single patient. Random intermittent spot checks on fields like this are okay to do. You have to assume if they marked it, it is correct, don't want to to verify every single item. Will have to discuss to what degree QI checking should be done so it is done the same at each site.[[User:TOstryzniuk|Trish Ostryzniuk]] 13:29, 2013 January 22 (EST)

* Concordia is having many of the same TISS issues that Gail noted to be occurring at HSC ~~(ie~~. missed dressings, missed 2300 hrs items, missed drains /foley, missed first and last day,etc)[[User:Mlaporte|Mlaporte]] 16:03, 2013 January 30 (EST)

* Concordia is having many of the same TISS issues that Gail noted to be occurring at HSC.

*'''#6 or 7 missed dressings'''

*'''#46-49 missed 2300 hrs items'''

*'''#8 missed drains /foley'''

*'''FIRST DAY TISS & LAST DAY TISS:''' missed first and last day,etc)-[[User:Mlaporte|Mlaporte]] 16:03, 2013 January 30 (EST)

==VIC==

@@ Line 49: / Line 49: @@
 ==CON==
 I am just starting to look at Jan admit/discharges. I have not done the Tiss quality checks for any of these charts but for the 6 pts discharged the bedside nurses' incompletion of the TISS is still an issue--5 of 6 charts had 0-35% of the TISS days filled in.
-Jan 22-Completion of the TISS is improving at the CON; but still issues of missed days (ex.first day on the TISS is the pt's fourth day in ICU --not done for the first three days,last day missed,etc.) The educator is drafting a memo addressing this issue.
+*Jan 22-Completion of the TISS is improving at the CON; but still issues of missed days (ex.first day on the TISS is the pt's fourth day in ICU --not done for the first three days,last day missed,etc.) The educator (Jason Trottier) is drafting a memo addressing this issue.
 *I am finding that the quality checks are difficult for some of the items:
-**CAM +ve is being filled in as present with no documentation on the chart if pt CAM +/- or unable to do.
+*'''#9 CAM +ve'''- is being filled in as present with no documentation on the chart if pt CAM +/- or unable to do.
-***Incentive spirometry being filled in-no documentation on the chart if done or not.
+*'''#25 Incentive spirometry''' being filled in-no documentation on the chart if done or not.
-****IF we find that the documentation is not there to validate the entry; do we leave the entry while doing our quality checks? Do we assume the nurse who filled in the TISS item did indeed do the task/assessment?[[User:Mlaporte|Mlaporte]] 11:54, 2013 January 22 (EST)
+**IF we find that the documentation is not there to validate the entry; do we leave the entry while doing our quality checks? Do we assume the nurse who filled in the TISS item did indeed do the task/assessment?[[User:Mlaporte|Mlaporte]] 11:54, 2013 January 22 (EST)
-*****Hi, good you are checking and providing feedback to educator so that they can inform & educate staff however, the expectation is not for the data collector to check and make sure every single item marked on the TISS is also in chart for every single patient.  Random intermittent spot checks on fields like this are okay to do. You have to assume if they marked it, it is correct, don't want to to verify every single item.  Will have to discuss to what degree QI checking should be done so it is done the same at each site.[[User:TOstryzniuk|Trish Ostryzniuk]] 13:29, 2013 January 22 (EST)
+***Hi, good you are checking and providing feedback to educator so that they can inform & educate staff however, the expectation is not for the data collector to check and make sure every single item marked on the TISS is also in chart for every single patient.  Random intermittent spot checks on fields like this are okay to do. You have to assume if they marked it, it is correct, don't want to to verify every single item.  Will have to discuss to what degree QI checking should be done so it is done the same at each site.[[User:TOstryzniuk|Trish Ostryzniuk]] 13:29, 2013 January 22 (EST)
-* Concordia is having many of the same TISS issues that Gail noted to be occurring at HSC (ie. missed dressings, missed 2300 hrs items, missed drains /foley, missed first and last day,etc)[[User:Mlaporte|Mlaporte]] 16:03, 2013 January 30 (EST)
+* Concordia is having many of the same TISS issues that Gail noted to be occurring at HSC.
+*'''#6 or 7 missed dressings'''
+*'''#46-49 missed 2300 hrs items'''
+*'''#8 missed drains /foley'''
+*'''FIRST DAY TISS & LAST DAY TISS:''' missed first and last day,etc)-[[User:Mlaporte|Mlaporte]] 16:03, 2013 January 30 (EST)
 ==VIC==