Acquired Diagnosis / Complication: Difference between revisions

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Acquired diagnoses do '''not''' refer to diagnoses that have been '''discovered''' after the patient comes to the unit if it is likely that the patient was admitted to ward with the problem in the first place but it took a few days to figure that out.   
Acquired diagnoses do '''not''' refer to diagnoses that have been '''discovered''' after the patient comes to the unit if it is likely that the patient was admitted to ward with the problem in the first place but it took a few days to figure that out.   
We don't repeat the diagnosis in the acquired section. For example if the admit diagnosis is CHF they get treated but relapse back into CHF we do not add that as a acquired complication.
'''Exceptions:'''
* For '''procedures''' we can repeat them once as a complication. For example if the patient came in with a scope in the admit and then had 3 more scopes in the hospital you would enter it''' once''' as an acquired
* the same type of '''infection''' that was present on admission but with a '''different pathogen'''.


==[[Significant complications medicine]]==
==[[Significant complications medicine]]==
For a list of the complications that are a '''priority''' which are looking for go to: [[Significant complications medicine]]
For a list of the complications that are a '''priority''' which are looking for go to: [[Significant complications medicine]]
We don't repeat the diagnosis in the acquired section.For example if the admit diagnosis is CHF they get treated but relapse back into CHF we do not add that as a acqiured complication.
For procedures we can repeat them once as a complication. For example if the patient came in with a scope in the admit and then had 3 more scopes in the hospital you would enter it''' once''' as an acquired.Another example skin grafting enter it once.
* If patient does come in with CHF and later goes into respiratory failure 2nd to flash pulmonary edema, I have repeated the CHF in acquired in the past. But CHF is not on Dan's list of significant complications. Does this mean do not list it in acquired any more?--[[User:FLindell|FLindell]] 15:59, 18 July 2011 (CDT)
** I talked with Trish today. You don't need to repeat a diagnosis that was present on admission if it reoccurs during the hospital stay.Of course the exception would be the same type of infection that was present on admission but with a different pathogen.[[User:GHall|GHall]] 21:59, 18 July 2011 (CDT)


==[[Significant complications ICU]]==
==[[Significant complications ICU]]==
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== should it be "acquired diagnoses" or "complications"? ==
== should it be "acquired diagnoses" or "complications"? ==
{{discussion}}
both terms are used to refer to problems, procedures, surgery that occur "AFTER" the patient is admitted to a unit.
right now different terms are used in different places. EG CCMDB uses acquired, this article is acquired, I don't know what TMSX uses, but the category name is "complications". Can we settle on one? I am volunteering to clean this up on the wiki if we settle on one. [[User:Ttenbergen|Ttenbergen]] 16:58, 2 November 2010 (CDT)
**both terms are used to refer to problems, procedures, surgery that occur "AFTER" the patient is admitted to a unit.--[[User:TOstryzniuk|TOstryzniuk]] 17:31, 3 November 2010 (CDT)


===Data Structure===
===Data Structure===
Acquired Diagnoses are drawn from [[S_AllDiagnoses]] and stored in [[L_Dxs]] on the PDA and in the [[CCMDB.mdb]].
Acquired Diagnoses are drawn from [[S_AllDiagnoses]] and stored in [[L_Dxs]] on the PDA and in the [[CCMDB.mdb]].


[[Category: Complications | * ]]
[[Category: Complications | * ]]