DeviceUse Study

Project Name

Device Use Study

Purpose

Patient quality of care improvements in Critical Care.

• Monitor resource allocation and monitor complication rates related to length of ICU medical device use. (VAP, Central Line Related Blood stream Infection (CLR-BSI), unplanned extubations)

Who

Information to be collected from charts daily by Regional Database Team - Critical Care areas.

• Monitoring being done by the Critical Care QI Team along with the cross Canada ICU collaborative project teams CCVSM. Members of the CCQI team will also provide ongoing support and feedback for issue related to collection of this data from chart.
• Laura Kolesar will be the lead data collector who will work with CCQI team, Statistician & Tina Tenbergen on matters related to this project.

Where

Collected in L_Tmp

• Deposited into data repository L TmpV2 in the output folder on the Regional Server.

How often data is sent

• Information sent each week with sending to L TmpV2 even though patient files is not complete.

Template:Discussion Because the DeviceUse data will be repeatedly send each week to L_TMPV2, the collectors must be precise when entering any dates and time for devices and not be putting dummy times in and keep changing them. The statistician will be reporting this information weekly regardless if the rest of file is completed or not. Will need to discuss this more later.

• • Is anyone else going to have a hard time getting precise times when entering the dates? I think this will be a challenge! GHall 20:26, 6 September 2011 (CDT)
    • I wonder if the focus is on actual times rather than dummy ones; considering the paragraph then explains that the data will be sent every time, I would think that that is what this is about more than accuracy. Ttenbergen 09:38, 7 September 2011 (CDT)
      • We will pilot the process first and find out what the issue might be in obtaining this data and work them out before we actually launch. The only way we will know if there will be issues dates and in particular, times, is when we actually test the process first and find out.--TOstryzniuk 17:52, 7 September 2011 (CDT)
        • I think precise times will be hard to find. How precise do you want to be? This will definatly take some extra time to collect. Lois

Items Collected

S_Tmp:

• Art line_IN - date & time
• Art line_OUT - date & time

• 1st Central line_IN - date & time
• Last-Central line_OUT
  • NOTE: It doesn't matter how many central lines a patient has each day. One patient with three central lines, line count is "one" line for that patient for that day.

• PICC line _IN - date & time
• PICC line_OUT - date & time

• ETT_IN - date & time
• ETT_OUT - date & time - (bool_var) unplanned extubation check mark means YES
  • uplanned extubation is defined as unscheduled removal of an endotraacheal tube (excludes tracheostomy tube) either related to the accidental dislodgement due to care processes or due to patient extubating self.

• Trach_IN - date & time
• Trach_OUT - date & time

• Vent start_IN - date & time
• Vent stop_OUT - date & time
  • DC Vent will be defined as OFF the ventilator for >=48 hrs

• BIPAP/CPAP start_IN - date & time
• BIPAP/CPAP stop_OUT - date & time
  • DC BIPAP will be defined as OFF the ventilator for >=24 hrs

Start Date

Will be tested out of STB MICU and CICU and also CON. Possible start of testing Oct 1.11. This date will be updated HERE by Laura Kolesar & or Julie Mojica.

Analysis

Will be handled by Statistician

1. number of central line days between Central Line Related Blood stream Infection (CLR-BSI)
2. number of Vent days between unplanned extubations
3. number of Vent days between VAP

--TOstryzniuk 18:02, 31 August 2011 (CDT)