Peer Audit: Difference between revisions

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==QUESTIONS from Collectors==

~~===Discussion===~~

~~{{Discussion}}~~

~~==== Coverage ====~~

*''I regularly cover for both Kym and Darlene for sick, vacation and we help each other out when the others are busy. How do I audit an area if I am covering for vacation in the same area??''--[[User:LKolesar|LKolesar]] 11:07, 18 November 2009 (CST)

**'''Good question. If you are covering for vacation in the same area, don't do an audit on that week. The main idea for the peer audit is to repeat the data collections totally by 2 different data collectors'''. -- [[User:JMojica|JMojica]] 14:14, 18 November 2009 (CST)

**'''Don't do audits during week you are covering vacation'''.[[User:TOstryzniuk|TOstryzniuk]] 15:33, 18 November 2009 (CST)

*** Scenario: Audit patient started by one collector Jane in week 1. Week 2 collector Jane becomes unavailable. Collector Betty takes over for her. Betty is collector whom Jane usually audits. Option a: Does Betty '''discard''' the audit patient started by Jane? Option b: Does Betty leave the already started audit patient for Jane to finish when Jane gets back, but simply not start a new audit patient that week? I think the option be would be better, otherwise we could loose a LOT of patients to weird exceptions. [[User:Ttenbergen|Ttenbergen]] 17:20, 23 November 2009 (CST)

**Audit patient must to be completed by the same data collector. If the data collector happens to be unavailable to complete the audit, she will continue on the same audit patient when she comes back. [[User:JMojica|JMojica]] 10:11, 2 December 2009 (CST)

~~==== Start Date at StB ====~~

*''For SBGH med, our start date is the week of Nov.23/09. Do we audit the first patient admitted to the ward for Monday Nov. 23/09, or do we audit the first patient admitted to the ward for Thursday, Nov. 26/09? (under "How it is collected-it says to audit "the first patient admitted to the audit ward on Thursday morning") We will also be doing some vacation relief starting the month of December, and actually continuing on for most of January and February 2010. So, do we do the same as Laura, above, and not audit if you are covering for vacation?''[[User:DPageNewton|DPageNewton]] 14:36, 18 November 2009 (CST)

**'''STB will start "next week" and audit the first patient that arrived on audit ward on Thursday Nov 25.09.'''[[User:TOstryzniuk|TOstryzniuk]] 15:33, 18 November 2009 (CST)

~~====STB Med Location on Registry page on PDA ====~~

*The audit starts for SBGH tomorrow. I will be auditing Gayle's ward. For the location on the registry page, do I put E6, Gayle's ward, or do I put the location as 5B, my ward? [[User:DPageNewton|DPageNewton]] 18:18, 25 November 2009 (CST)

**Location: STB_E6. --[[User:TOstryzniuk|TOstryzniuk]] 18:58, 27 November 2009 (CST)

*Sending Question

~~{{discussion}}~~

*I will be sending my first audit patient this week. When I send I am to put an "a" for the batch number. Do I also put the number of the batch I am currently sending as well. i.e. 45a, or do I just put an "a"? [[User:DPageNewton|DPageNewton]] 18:37, 8 December 2009 (CST)

**See instruction above: [http://ltc.umanitoba.ca/wikis/ccmdb/index.php/Peer_Audit#How_to_Send How to send],SEND.--[[User:TOstryzniuk|TOstryzniuk]] 00:20, 9 December 2009 (CST)

~~==== First admitted vs first moved? ====~~

*''For Vic med- We collect the admit date/time pt admitted to medicine service and the actual date/time the patient is "moved" to the ward.

**''Do you want the first patient on the Thursday to be the first patient to arrive to the ward that day or the first patient admitted to the medicine service that day?''

***'''The first patient that arrives from another unit "OR" is admitted from ER to the ward that you are auditing on, which ever one is "first" to arrive on that ward.'''

~~==== What if no patients are admitted on a Thursday? ====~~

*''What do you wish us to do if there are no patients admitted that day?''

**'''Choose the first patient that arrived on the ward on the next day which would be a Friday.'''

*** This is actually addressed more generally in the original definition: "Starting on Thursday morning, the first patient" means that it doesn't matter when the patient actually arrives, pick the first one after Thursday morning. [[User:Ttenbergen|Ttenbergen]] 17:20, 23 November 2009 (CST)

~~==== Exceptions to 1pt per week ====~~

*''Do you want at least 1 patient per week for the audit?''

**'''Yes, you must audit one patient per week, every Thursday from now on.'''

*** Except if a ward is being [[#Coverage | covered]] for vacation/sick relief, however if there is already an peer audit on the PDA you are doing coverage make sure you are aware of it and don't sent it in with non peer audit numbers. --[[User:TOstryzniuk|TOstryzniuk]] 14:24, 1 December 2009 (CST) [[User:Ttenbergen|Ttenbergen]] 17:20, 23 November 2009 (CST)

~~==== What if a collector does not work on a Thursday? ====~~

*''Also, Shirley works the Mon, Tues, and Wed while Wendy and I work the Tues, Wed, and Thurs. How do you want us to work this so we are consistent?''

**'''On a Monday, Shirley will still have to audit (enter on net book) the first patient who arrived on her assigned auditing ward on the Thursday of the previous week.'''

==== Long Stay Patients ====

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*''Do you want us to follow patients that are transferred between wards or just new admits?''

**'''Both. If the first patient that arrives on your audit ward on Thursday is a patient that was transferred over from your own collection ward do not audit that patient. Select the "next" patient that arrived on your audit ward on Thursday. The main idea of a peer audit is to repeat data collection for a patient by two totally different data collectors'''.--[[User:TOstryzniuk|TOstryzniuk]] 13:29, 19 November 2009 (CST)

*Sorry lots of question but we would like to be consistent with other locations.[[User:TAngell|TAngell]] 15:04, 18 November 2009 (CST)

~~====STB RE: Lab and Pharmacy items====~~

**We at STB want to know who would need validation (via the audit) on lab and pharmacy counts??? To my knowledge, no one has ever used this data. We are fine with auditing the diagnostics, comorbids and apache scores but auditing labs and pharmacies seems unnecessary, is tedious and time consuming. We would appreciate this being looked at before the audits begin. Thank you. KYM, LAURA and Darlene. --[[User:LKolesar|LKolesar]] 14:59, 24 November 2009 (CST)

*** Lab and Pharmacy data are part of the database. We would like to have a comprehensive coverage for this QA study. If indeed too much a workload for now, we shall postpone their inclusion once we have implemented the reduction of unnecessary elements agreed upon by the Steering Committee.[[User:JMojica|JMojica]] 10:24, 2 December 2009 (CST)

***Do not include Lab test or Pharmacy collection in the Peer audit for now until reduction of lab and pharm items is implemented. Once implemented which will be in Jan or Feb 2010, then reduced list will be included in Peer audit.--[[User:TOstryzniuk|TOstryzniuk]] 18:16, 2 December 2009 (CST)

@@ Line 115: / Line 115: @@
 ==QUESTIONS from Collectors==
-===Discussion===
-{{Discussion}}
-==== Coverage ====
-*''I regularly cover for both Kym and Darlene for sick, vacation and we help each other out when the others are busy.  How do I audit an area if I am covering for vacation in the same area??''--[[User:LKolesar|LKolesar]] 11:07, 18 November 2009 (CST)
-**'''Good question.  If you are covering for vacation in the same area, don't do an audit on that week. The main idea for the peer audit is to repeat the data collections totally by 2 different data collectors'''. -- [[User:JMojica|JMojica]] 14:14, 18 November 2009 (CST)
-**'''Don't do audits during week you are covering vacation'''.[[User:TOstryzniuk|TOstryzniuk]] 15:33, 18 November 2009 (CST)
-*** Scenario: Audit patient started by one collector Jane in week 1. Week 2 collector Jane becomes unavailable. Collector Betty takes over for her. Betty is collector whom Jane usually audits. Option a: Does Betty '''discard''' the audit patient started by Jane? Option b: Does Betty leave the already started audit patient for Jane to finish when Jane gets back, but simply not start a new audit patient that week? I think the option be would be better, otherwise we could loose a LOT of patients to weird exceptions. [[User:Ttenbergen|Ttenbergen]] 17:20, 23 November 2009 (CST)
-**Audit patient must to be completed by the same data collector.  If the data collector happens to be unavailable to complete the audit, she will continue on the same audit patient when she comes back. [[User:JMojica|JMojica]] 10:11, 2 December 2009 (CST)
-==== Start Date at StB ====
-*''For SBGH med, our start date is the week of Nov.23/09. Do we audit the first patient admitted to the ward for Monday Nov. 23/09, or do we audit the first patient admitted to the ward for Thursday, Nov. 26/09? (under "How it is collected-it says to audit "the first patient admitted to the audit ward on Thursday morning") We will also be doing some vacation relief starting the month of December, and actually continuing on for most of January and February 2010. So, do we do the same as Laura, above, and not audit if you are covering for vacation?''[[User:DPageNewton|DPageNewton]] 14:36, 18 November 2009 (CST)
-**'''STB will start "next week" and audit the first patient that arrived on audit ward on Thursday Nov 25.09.'''[[User:TOstryzniuk|TOstryzniuk]] 15:33, 18 November 2009 (CST)
-====STB Med Location on Registry page on PDA ====
-*The audit starts for SBGH tomorrow. I will be auditing Gayle's ward. For the location on the registry page, do I put E6, Gayle's ward, or do I put the location as 5B, my ward? [[User:DPageNewton|DPageNewton]] 18:18, 25 November 2009 (CST)
-**Location: STB_E6.  --[[User:TOstryzniuk|TOstryzniuk]] 18:58, 27 November 2009 (CST)
-*Sending Question
-{{discussion}}
-*I will be sending my first audit patient this week. When I send I am to put an "a" for the batch number. Do I also put the number of the batch I am currently sending as well. i.e. 45a, or do I just put an "a"? [[User:DPageNewton|DPageNewton]] 18:37, 8 December 2009 (CST)
-**See instruction above: [http://ltc.umanitoba.ca/wikis/ccmdb/index.php/Peer_Audit#How_to_Send  How to send],SEND.--[[User:TOstryzniuk|TOstryzniuk]] 00:20, 9 December 2009 (CST)
-==== First admitted vs first moved? ====
-*''For Vic med- We collect the admit date/time pt admitted to medicine service and the actual date/time the patient is "moved" to the ward.
-**''Do you want the first patient on the Thursday to be the first patient to arrive to the ward that day or the first patient admitted to the medicine service that day?''
-***'''The first patient that arrives from another unit "OR" is admitted from ER to the ward that you are auditing on, which ever one is "first" to arrive on that ward.'''
-==== What if no patients are admitted on a Thursday? ====
-*''What do you wish us to do if there are no patients admitted that day?''
-**'''Choose the first patient that arrived on the ward on the next day which would be a Friday.'''
-*** This is actually addressed more generally in the original definition: "Starting on Thursday morning, the first patient" means that it doesn't matter when the patient actually arrives, pick the first one after Thursday morning. [[User:Ttenbergen|Ttenbergen]] 17:20, 23 November 2009 (CST)
-==== Exceptions to 1pt per week ====
-*''Do you want at least 1 patient per week for the audit?''
-**'''Yes, you must audit one patient per week, every Thursday from now on.'''
-*** Except if a ward is being [[#Coverage | covered]] for vacation/sick relief, however if there is already an peer audit on the PDA you are doing coverage make sure you are aware of it and don't sent it in with non peer audit numbers. --[[User:TOstryzniuk|TOstryzniuk]] 14:24, 1 December 2009 (CST) [[User:Ttenbergen|Ttenbergen]] 17:20, 23 November 2009 (CST)
-==== What if a collector does not work on a Thursday? ====
-*''Also, Shirley works the Mon, Tues, and Wed while Wendy and I work the Tues, Wed, and Thurs. How do you want us to work this so we are consistent?''
-**'''On a Monday, Shirley will still have to audit (enter on net book) the first patient who arrived on her assigned auditing ward on the Thursday of the previous week.'''
 ==== Long Stay Patients ====
@@ Line 169: / Line 127: @@
 *''Do you want us to follow patients that are transferred between wards or just new admits?''
 **'''Both. If the first patient that arrives on your audit ward on Thursday is a patient that was transferred over from your own collection ward do not audit that patient.  Select the "next" patient that arrived on your audit ward on Thursday. The main idea of a peer audit is to repeat data collection for a patient by two totally different data collectors'''.--[[User:TOstryzniuk|TOstryzniuk]] 13:29, 19 November 2009 (CST)
-*Sorry lots of question but we would like to be consistent with other locations.[[User:TAngell|TAngell]] 15:04, 18 November 2009 (CST)
-====STB RE: Lab and Pharmacy items====
-**We at STB want to know who would need validation (via the audit) on lab and pharmacy counts??? To my knowledge, no one has ever used this data.  We are fine with auditing the diagnostics, comorbids and apache scores but auditing labs and pharmacies seems unnecessary, is tedious and time consuming.  We would appreciate this being looked at before the audits begin.  Thank you.  KYM, LAURA and Darlene.  --[[User:LKolesar|LKolesar]] 14:59, 24 November 2009 (CST)
-*** Lab and Pharmacy data are part of the database.  We would like to have a comprehensive coverage for this QA study. If indeed too much a workload for now, we shall postpone their inclusion once we have implemented the reduction of unnecessary elements agreed upon by the Steering Committee.[[User:JMojica|JMojica]] 10:24, 2 December 2009 (CST)
-***Do not include Lab test or Pharmacy collection in the Peer audit for now until reduction of lab and pharm items is implemented.  Once implemented which will be in Jan or Feb 2010, then reduced list will be included in Peer audit.--[[User:TOstryzniuk|TOstryzniuk]] 18:16, 2 December 2009 (CST)