VAP - Ventilator Associated Pneumonia: Difference between revisions
Ttenbergen (talk | contribs) m →Arrived w community acquired pneumonia and develops VAP: remainder is already addressed, since this is a special case of coding VAP in med |
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When the Statistician links admissions in the database between ICU'a & medicine wards in the city, those patient that have VAP in admitting diagnosis are excluded from complication statistics. The patient encounter that had the VAP coded in the '''acquired diagnosis''' slot is the unit that is given credit for the '''complication''' occuring in that unit. [[User:TOstryzniuk|TOstryzniuk]] 14:10, 16 June 2008 (CDT) | When the Statistician links admissions in the database between ICU'a & medicine wards in the city, those patient that have VAP in admitting diagnosis are excluded from complication statistics. The patient encounter that had the VAP coded in the '''acquired diagnosis''' slot is the unit that is given credit for the '''complication''' occuring in that unit. [[User:TOstryzniuk|TOstryzniuk]] 14:10, 16 June 2008 (CDT) | ||
== | == False positives and negatives == | ||
{{ | {{discussion}} | ||
This really applies to all diagnoses, no? Should we have a separate article that addresses how to deal with Dxs that should be present but aren't, or that shouldn't be present but are? Or, is this already addressed in [[]]. | |||
*What are other collectors doing or finding at their site and do you review with attendings?--[[User:TOstryzniuk|TOstryzniuk]] 13:42, 31 January 2011 (CST) | |||
*Need further feedback from other ICU's. Dr. Bojan Paunovic who is the acting ICU director had asked the question.--[[User:TOstryzniuk|TOstryzniuk]] 19:35, 3 February 2011 (CST) | |||
=== False Negatives === | |||
* If a physician does not chart the DX of VAP but patient meets the criteria above for VAP, what do collectors do? | |||
** If the criteria all clearly show a VAP then the doctor should be informed about this. (...) --[[User:LKolesar|LKolesar]] 15:26, 28 January 2011 (CST) (partial comment moved) | |||
** (...) If it meets our criteria of VAP I code it as VAP and discuss with the charge/bedside nurse or MD on shift in the unit (usually not the attending)[[User:Mlaporte|Mlaporte]] 16:52, 3 February 2011 (CST) (partial comment moved) | |||
=== False Positives === | |||
* I find often the opposite happens, ie they call it a VAP when it does not meet all the criteria and in this case it is likely still a HAP. --[[User:LKolesar|LKolesar]] 15:26, 28 January 2011 (CST) (partial comment moved) | |||
* I have found the same as Laura re: sometimes the MD is saying VAP when it does not meet our criteria; so, I code it as a HAP. (...) and discuss with the charge/bedside nurse or MD on shift in the unit (usually not the attending)[[User:Mlaporte|Mlaporte]] 16:52, 3 February 2011 (CST) | |||
** Marie, don't mean to misquote you: do you also discuss the False Positives with the nures or MD on shift? [[User:Ttenbergen|Ttenbergen]] 16:57, 7 July 2011 (CDT) | |||
[[Category:Diagnosis Coding]] | [[Category:Diagnosis Coding]] | ||
[[Category: Pneumonia]] | [[Category: Pneumonia]] | ||