ACS: Difference between revisions
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Revision as of 23:34, 2009 April 21
For the purposes of this article, ACS is a catch-all term for cardiac symptoms that may or may not include an MI. Doctors use the term in the charts, making it difficult for data collectors to know which dx to use.
Discussion
- ACS should be added to the code book because it encompasses everything from USA to MI. It is used often in the notes by Doctors. Disussion is requested by the collectors --JHutton 10:16, 11 June 2008 (CDT)
- It is my understanding that if there is diagnosis of MI then the nurse can initiate the MI care map without a doctors order, or at least alert the nurse enough to ask for the MI care map. The MI care map is best practice in the region. If the ACS is used as a diagnosis and the MI care map is not done could this not impact negatively on patient care and outcomes? I have notice a trend in not using the MI care map at my hospital. Also could this not impact negatively on resources that would be available on the wards/service in the future?TAngell 09:42, 17 June 2008 (CDT)
- I agree with Tara more and more infarcts are being missed here and at HSC they are just coding ACS. So we will have to check Mibbi results TNIs (how High?) EKG and asking the physicians was this an infarct? (SKiesman 15:01, 23 June 2008)
- It is my understanding that if there is diagnosis of MI then the nurse can initiate the MI care map without a doctors order, or at least alert the nurse enough to ask for the MI care map. The MI care map is best practice in the region. If the ACS is used as a diagnosis and the MI care map is not done could this not impact negatively on patient care and outcomes? I have notice a trend in not using the MI care map at my hospital. Also could this not impact negatively on resources that would be available on the wards/service in the future?TAngell 09:42, 17 June 2008 (CDT)
- According to Trish the following diagnoses might be coded instead of an ACS or might be missed if we allow coding of ACS as a specific code:
- Unstable angina (151-00)
- Acute coronary insufficiency (152-00)
- nontransmural MI (102-07)
- Are there other diagnoses on that list?
- Ttenbergen 12:28, 17 April 2009 (CDT)
- I think there are two sides to this:
- How do we want to code this for our database?
- Is this a patient care concern?
Ttenbergen 12:35, 17 April 2009 (CDT)