Ulcers - Decubitus only: Difference between revisions

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* For critical care we can only put in 9 complications and bedsores is just not a top priority. If this is important to capture then we would need to add it to our tmp file. If the nurses don't chart skin breakdown there is no way to tell if it was there. We can only use what is written down as sometimes we are looking at charts after the patient is discharged. Documentation can be poor for this sometimes, I agree. --[[User:LKolesar|LKolesar]] 12:55, 3 May 2010 (CDT)

**Medical wards have same problem as described by Pat S. Rarely, there will acctually be a very good note, by the 'skin and wound' nurse.[[User:ENagy|ENagy]] 15:45, 7 May 2010 (CDT)

***what we are seeing in ICU 2010-2012 is that Decubitus is not coded in admit or acquired. in these 153 cases where TISS76 item84 is marked but not coded in diagnosis, 60 have all 6 admit slots filled up but only 3 have all 9 complication slots filled up. So the reason reason being that complication slots are mostly filled up is not a correct assumption. One of the issue at STB is that collectors don't find clear documentation in chart.[[User:TOstryzniuk|Trish Ostryzniuk]] 19:03, 2012 October 11 (CDT)

***what we are seeing in ICU 2010-2012 is that Decubitus is not coded in admit or acquired. In these 153 cases where TISS76 item84 is marked but not coded in diagnosis, 60 have all 6 admit slots filled up but only 3 have all 9 complication slots filled up. So the reason reason being that complication slots are mostly filled up is not a correct assumption. One of the issue at STB is that collectors don't find clear documentation in chart.[[User:TOstryzniuk|Trish Ostryzniuk]] 19:03, 2012 October 11 (CDT)

****Since this is a quality of care issue and should be monitored more, we will asked the ICU Task team, QI team and ICU director if we need to raise the importance of collectors finding this information on chart, & if poor charting, how can ICU better document. Another option is to include it on new [[TISS28]]. Will follow up with email to Jodi Walker Tweed.-[[User:TOstryzniuk|Trish Ostryzniuk]] 19:03, 2012 October 11 (CDT)

****Since this is a quality of care issue and should be monitored more, we will asked the ICU Task team, QI team and ICU director for further input. If we need to raise the importance of collectors finding this information on chart, & if poor charting, how can ICU better document? Another option is to include it on new [[TISS28]]. Will follow up with email to Jodi Walker Tweed.-[[User:TOstryzniuk|Trish Ostryzniuk]] 19:03, 2012 October 11 (CDT)

*****See: [[Significant complications ICU]] & [[Significant complications medicine]].

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 * For critical care we can only put in 9 complications and bedsores is just not a top priority.  If this is important to capture then we would need to add it to our tmp file.  If the nurses don't chart skin breakdown there is no way to tell if it was there.  We can only use what is written down as sometimes we are looking at charts after the patient is discharged.  Documentation can be poor for this sometimes, I agree.  --[[User:LKolesar|LKolesar]] 12:55, 3 May 2010 (CDT)
 **Medical wards have same problem as described by Pat S. Rarely, there will acctually be a very good note, by the 'skin and wound' nurse.[[User:ENagy|ENagy]] 15:45, 7 May 2010 (CDT)
-***what we are seeing in ICU 2010-2012 is that Decubitus is not coded in admit or acquired. in these 153 cases where TISS76 item84 is marked but not coded in diagnosis, 60 have all 6 admit slots filled up but only 3 have all 9 complication slots filled up. So the reason reason being that complication slots are mostly filled up is not a correct assumption.  One of the issue at STB is that collectors don't find clear documentation in chart.[[User:TOstryzniuk|Trish Ostryzniuk]] 19:03, 2012 October 11 (CDT)
+***what we are seeing in ICU 2010-2012 is that Decubitus is not coded in admit or acquired. In these 153 cases where TISS76 item84 is marked but not coded in diagnosis, 60 have all 6 admit slots filled up but only 3 have all 9 complication slots filled up. So the reason reason being that complication slots are mostly filled up is not a correct assumption.  One of the issue at STB is that collectors don't find clear documentation in chart.[[User:TOstryzniuk|Trish Ostryzniuk]] 19:03, 2012 October 11 (CDT)
-****Since this is a quality of care issue and should be monitored more, we will asked the ICU Task team, QI team and ICU director if we need to raise the importance of collectors finding this information on chart, & if poor charting, how can ICU better document.  Another option is to include it on new [[TISS28]].  Will follow up with email to Jodi Walker Tweed.-[[User:TOstryzniuk|Trish Ostryzniuk]] 19:03, 2012 October 11 (CDT)
+****Since this is a quality of care issue and should be monitored more, we will asked the ICU Task team, QI team and ICU director for further input.   If we need to raise the importance of collectors finding this information on chart, & if poor charting, how can ICU better document?  Another option is to include it on new [[TISS28]].  Will follow up with email to Jodi Walker Tweed.-[[User:TOstryzniuk|Trish Ostryzniuk]] 19:03, 2012 October 11 (CDT)
 *****See: [[Significant complications ICU]] & [[Significant complications medicine]].