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.

~~== 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 last Feb 2, 2016 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.

~~== 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.

== Status ==

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=== How to determine? ===

== 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 last Feb 2, 2016 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.

== 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.

== Start/End Dates ==

@@ Line 2: / Line 2: @@
 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 last Feb 2, 2016 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.
-== 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.
 == Status ==
@@ Line 64: / Line 51: @@
 === How to determine? ===
 <detail>
+== 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 last Feb 2, 2016 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.
+== 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.
 == Start/End Dates ==