List of Factor affecting data quality: Difference between revisions

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== APACHE improvements ==

# One example identified at a meeting today by [[User: CMarks| CMarks]] was if there is no MOST, because a patient was in palliative care, and only vital signs available is from 1 week prior to acceptance to medicine service then what do you put in as a BP, HR, WBC? The guidelines state if there are no values assume normal. But what are the normal values that should be recorded?

* One example identified at a meeting today by [[User: CMarks| CMarks]] was if there is no MOST, because a patient was in palliative care, and only vital signs available is from 1 week prior to acceptance to medicine service then what do you put in as a BP, HR, WBC? The guidelines state if there are no values assume normal. But what are the normal values that should be recorded?

#*Solution: Tina suggested putting '''not available''' and when data sent to Server, values will be output as a preset standard normals.

**Solution: Tina suggested putting '''not available''' and when data sent to Server, values will be output as a preset standard normals.

# Another example ID'd by [[p:Lois Bilesky-retire Jan 10, 2019 | Lois Bilesky]] was for APACHE - the exact physiological item is not recorded because APACHE score is based on selecting a value within a RANGE for points. If the points are the same why fuss about which value to select? There were never any guidelines instructing a collector which value to choose within a range.

* Another example ID'd by [[p:Lois Bilesky-retire Jan 10, 2019 | Lois Bilesky]] was for APACHE - the exact physiological item is not recorded because APACHE score is based on selecting a value within a RANGE for points. If the points are the same why fuss about which value to select? There were never any guidelines instructing a collector which value to choose within a range.

#*Solution: Update guidelines for APACHE II collection rules.

**Solution: Update guidelines for APACHE II collection rules.

*I have been thinking about ways in which apache scores could be done more consistently. If a mean BP calculator was put into access so that entering the systolic and diastolic numbers will result in a mean BP every time, this would be very helpful. Another thought that I had was that every value have a permanent display of the median (normal) number. For example the median for Potassium is 4.4, for WBC it is 9, etc. If the median number is permanently displayed on the screen then it is easier to ascertain the number furthest from that number either higher or lower. I think this is easier than having the range display. It would also be more accurate I think. --[[User:LKolesar|LKolesar]] 07:44, 10 January 2011 (CST)

**This display of median number of the normal scale would also apply to vital signs. --[[User:LKolesar|LKolesar]] 07:25, 11 January 2011 (CST)

{{Discuss |

* These points about improving APACHE were made a long time ago. Since then we added a listing for default values and ranges, and the [[BP Helper button]], and the reference values and ranges on the [[Patient viewer tab APACHE]]. Would you say that these issues are addressed or is this still a problem? }}

== Related articles ==

@@ Line 14: / Line 14: @@
 == APACHE improvements ==
-# One example identified at a meeting today by [[User: CMarks| CMarks]] was if there is no MOST, because a patient was in palliative care, and only vital signs available is from 1 week prior to acceptance to medicine service then what do you put in as a BP, HR, WBC?  The guidelines state if there are no values assume normal.  But what are the normal values that should be recorded?
+* One example identified at a meeting today by [[User: CMarks| CMarks]] was if there is no MOST, because a patient was in palliative care, and only vital signs available is from 1 week prior to acceptance to medicine service then what do you put in as a BP, HR, WBC?  The guidelines state if there are no values assume normal.  But what are the normal values that should be recorded?
-#*Solution: Tina suggested putting '''not available''' and when data sent to Server, values will be output as a preset standard normals.
+**Solution: Tina suggested putting '''not available''' and when data sent to Server, values will be output as a preset standard normals.
-# Another example ID'd by [[p:Lois Bilesky-retire Jan 10, 2019 | Lois Bilesky]] was for APACHE - the exact physiological item is not recorded because APACHE score is based on selecting a value within a RANGE for points. If the points are the same why fuss about which value to select?   There were never any guidelines instructing a collector which value to choose within a range.
+* Another example ID'd by [[p:Lois Bilesky-retire Jan 10, 2019 | Lois Bilesky]] was for APACHE - the exact physiological item is not recorded because APACHE score is based on selecting a value within a RANGE for points. If the points are the same why fuss about which value to select?   There were never any guidelines instructing a collector which value to choose within a range.
-#*Solution: Update guidelines for APACHE II collection rules.
+**Solution: Update guidelines for APACHE II collection rules.
 *I have been thinking about ways in which apache scores could be done more consistently.  If a mean BP calculator was put into access so that entering the systolic and diastolic numbers will result in a mean BP every time, this would be very helpful.   Another thought that I had was that every value have a permanent display of the median (normal) number.  For example the median for Potassium is 4.4, for WBC it is 9, etc.    If the median number is permanently displayed on the screen then it is easier to ascertain the number furthest from that number either higher or lower.    I think this is easier than having the range display.     It would also be more accurate I think.  --[[User:LKolesar|LKolesar]] 07:44, 10 January 2011 (CST)
 **This display of median number of the normal scale would also apply to vital signs.   --[[User:LKolesar|LKolesar]] 07:25, 11 January 2011 (CST)
+{{Discuss |
+* These points about improving APACHE were made a long time ago. Since then we added a listing for default values and ranges, and the [[BP Helper button]], and the reference values and ranges on the [[Patient viewer tab APACHE]]. Would you say that these issues are addressed or is this still a problem? }}
 == Related articles ==