CRRT Project: Difference between revisions
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CRRT is going to be a permanent "temporary project" to collect reasons why patients receive [[CRRT]]([https://en.wikipedia.org/wiki/Hemofiltration]) treatment. | CRRT is going to be a permanent "temporary project" to collect reasons why patients receive [[CRRT]]([https://en.wikipedia.org/wiki/Hemofiltration]) treatment. | ||
== Background == | |||
The patients on CRRT therapy during the stay in ICU are being tracked by a CRN in Critical Care Program since ?? (date to be asked). The CRN collects the patient names, the hospital number, the renal diagnosis for reason for CRRT, the initiation and duration of therapy in paper form. The Renal Program states that they need the demographics of patients who were on CRRT as well as the reasons why CRRT were requested by Neprologists for quality improvement, resource utilization and billing purposes. Critical Care Program shares these information to the Renal Program by faxing the hand written data sheets to them on a monthly basis. | |||
In Jan 2013, the Critical Care Program implemented the usage of the new TISS28 form which include various nursing activities, interventions and procedures including CRRT. The bed side nurse records on the TISS form these activities if present on a daily basis for each patient during the whole duration of stay at ICU. The data collectors of the Critical Care Database quality check the entries of the TISS forms for completion and consistencies. Since the same information is being collected by the CRN and bed side nurses, a comparative analysis between the two process of data collections and an additional real time audit by an independent auditor were done. TISS CRRT had 96% matched with the real time CRRT while 85% matched with the CRN CRRT. | |||
The Critical Care and Renal Programs made a decision to consider the TISS28 as the source of CRRT data starting Jan 2016. | |||
However TISS28 does not contain the diagnostic reasons for CRRT therapy so a request to collect this information separately by the data collectors of the Critical Care Database was made. The Renal Program had identified the possible reasons for CRRT therapy and proposed to list them in a form for the attending Nephrologist to mark. | |||
== Status == | == Status == | ||
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# Form not available or not filled out | # Form not available or not filled out | ||
== | == Purposes == | ||
*To identify the reason(s) why CRRT therapy was/were requested by the attending nephrologist for quality improvement and resource utilization in the Renal Program. | |||
*To track the CRRT usage for workload and resource utilization in the Critical Care Program. | |||
== Data Collection Instructions == | == Data Collection Instructions == | ||
=== for which patients to code === | === for which patients to code === | ||
All Critical Care patients who are in CRRT therapy at HSC and STB hospitals. | |||
=== how to code === | === how to code === | ||
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== Start/End Dates == | == Start/End Dates == | ||
*Start: <when?> Potential: March 1.16 - cancelled indefinitely. --[[User:TOstryzniuk|Trish Ostryzniuk]] 16:39, 2016 February 9 (CST) | *Start Dates: | ||
*End: there is no planned end date | **CRRT usage from TISS28 - Jan 1, 2016 | ||
**Reasons for CRRT - <when?> Potential: March 1.16 - cancelled indefinitely. --[[User:TOstryzniuk|Trish Ostryzniuk]] 16:39, 2016 February 9 (CST) | |||
*End Date: there is no planned end date | |||
=={{CCMDB Data Integrity Checks}}== | =={{CCMDB Data Integrity Checks}}== | ||
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== SAS Program == | == SAS Program == | ||
*CRRT Days from TISS28 - The SAS program is in X:\Julie\CC Projects\CRRT_Ryan&Bueti\ICU_CRRT_byMonth.sas. The program generates the list of patient names, PHIN, Chart#, Date of Birth, First day on CRRT, year, month and calendar days on CRRT and total CRRT days. | |||
*Reasons for CRRT - will be added to the SAS program above. | |||
== See also == | == See also == | ||