|
|
| Line 1: |
Line 1: |
| {{discussion}}
| | This page provides guidelines how much communication should happen when patients re transferred from one ward/unit where we collect to another. |
| At some point it was identified that comorbids can be inaccurate due to poor transfer of information between locations. To solve this, collectors were told to compare comorbids between each other. This is adding a lot of overhead work in emailing or calling each other.
| |
|
| |
|
| At the [[Team Meeting September 29 2010]] we discussed that we should stop comparing comorbids across locations. Julie would be able to assume that any comorbid mentioned during a hospital session is active for the rest of that stay, so having collectors spend time to make sure it is recorded at each collection is duplication.
| | == Things that should be communicated == |
| | | Information related to: |
| We also talked about facilitating how collectors communicate admit/discharge times. I need to know if we can drop the comorbid comparisons before I can implement that. Trish, can we stop comparing comorbids? Please also update [[Changes#Facilitate_exchange_of_patient_discharge_times | here]]. [[User:Ttenbergen|Ttenbergen]] 11:37, 2 November 2010 (CDT)
| | * [[CAP-Community Acquired Pneumonia]] vs [[VAP - Ventilator Associated Pneumonia]] vs [[HAP-Hospital Acquired Pneumonia]] |
| | | * [[Central Line Related Blood stream Infection (CLR-BSI)]] |
| *{{discussion}}This topic was discussed at the steering committee meeting on October 3, 2011. It was the consensus of the group that comparing comorbids is generally not necessary. However, if a data collector needs to contact another in regards to comparing organisms later cultured or if they are unclear how to code the diagnosis and need to clarify some items from a transferred pt anyway, it does not hurt to compare the comorbids. The time comparisons can be obtained by using the Transfer Tracker.mdb. --[[User:LKolesar|LKolesar]] 14:35, 26 October 2011 (CDT) | | * [[QA Septic Shock]] |
| ** No more Transfer Tracker.mdb. How will this impact these instructions, what should people do now? Ttenbergen 16:42, 2017 June 21 (CDT) | | * [[Influenza tracking]] |
| | * cultured [[Pathogens]] that are returned after a patient moves on to another unit |
|
| |
|
| * Trish says: collectors should communicate with each other across hospitals.
| | == Things that should not be communicated outside of unusual circumstances == |
| * Dr. Roberts: if you consistently find more stuff than the local doc wrote down, notify so that the doctor can be talked to.
| | '''Don't''' coordinate times, regular collection instructions for those are good enough. |
|
| |
|
| {{discussion}}
| | == When you ''do'' communicate == |
| Can I summarize the above as:
| | Use the [["generate email" button]] to inform the collector at the next/previous location. |
| * Dr. Roberts: if you consistently find more stuff than the local doc wrote down, notify so that the doctor can be talked to.
| |
| * {{discussion}} '''What?''' can help with comparison of admit/discharge dates
| |
| * Data collectors should continue to compare comorbidities across hospitals
| |
| ** if this last part is true, what should we maybe add to the Transfer Tracker to reduce requirement to contact each other? {{discussion}} [[User:Ttenbergen|Ttenbergen]] 14:45, 2012 September 5 (CDT)
| |
| *** or, nowadays to [["email collector about patient data" button]]. but that seems excessive PHIA in email... Ttenbergen 16:43, 2017 June 21 (CDT)
| |
|
| |
|
| == from "Coordinating data collection between locations" page == | | == Reasons why remaining collection should be done independently == |
| Data Collectors coordinate data collected with each other using the [["generate email" button]] to inform the collector at the next/previous location of the following: | | Data collection should be done independently for diagnosis and comorbids |
| | For patients who moved from one unit or ward to another unit and ward, it is essential that collection of diagnosis and comorbids must be done independently by the data collector of each unit for the following reasons: |
|
| |
|
| * [[CAP-Community Acquired Pneumonia]] vs [[VAP - Ventilator Associated Pneumonia]] vs [[HAP-Hospital Acquired Pneumonia]]
| | # Comprehensiveness/Completeness of data - We would like to collect information as much as possible about the patient’s status/condition. If more than one person collects data on the same patient independently, the items missed/overlooked by one person may have been recorded by another. |
| * [[Central Line Related Blood stream Infection (CLR-BSI)]]
| | # A measure of precision or repeatability – In a scientific methodology, a measurement process is considered valid if it is accurate and precise. A measure of precision is related to the degree by which repeated measurements under unchanged conditions will show the same results. We are interested to know the degree of ‘same ‘or ‘different’ results our measurement process has. In the past, we did a peer audit but did not have the chance to continue since then for various reasons. We have the opportunity to do this currently in selective data (e.g. diagnosis and comorbids) and particularly for the group of patients who stayed in more than ward/unit during a hospital stay. It must be emphasized that this measure cannot be determined if data are just being transferred from one person to another. |
| * [[Influenza tracking]]
| | # Review and standardization of the process – there is also an opportunity to investigate the causes of discrepancies, if any, and improve the collection guidelines and process. |
| * [[QA Septic Shock]]
| |
| * [[Comorbid Diagnosis|Comorbid Diagnoses]], [[Admit Diagnosis]], [[Acquired Diagnosis / Complication]] (only if there was something unclear or difficult to find and relevant to the previous/next collector)
| |
|
| |
|
| '''Don't''' coordinate times, regular collection instructions for those are good enough. (we can get rid of this "don't" once all collectors are aware of this change, eg after 2017-12)
| | == See also == |
| | * [[Sharing Of information Survey Feb 8.13]] |
|
| |
|
| Don't spend too much time transcribing everything that should be obvious from chart. The time writing all that our can be spent better.
| | == Related Articles == |
| | {{Related Articles}} |
|
| |
|
| [[Category: Data Collection Guide]] | | [[Category: Data Collection Guide]] |
| [[Category: Standards and Conventions]] | | [[Category: Standards and Conventions]] |