ACP C: Difference between revisions
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*[http://www.wrha.mb.ca/professionals/acp/index.php WRHA ACP C] | *[http://www.wrha.mb.ca/professionals/acp/index.php WRHA ACP C] | ||
== | == Discussion == | ||
{{Potential Change}} | {{Potential Change}} | ||
QI TEAM, Kendiss Olafson etc. have asked if database team could collect ACP | QI TEAM, Kendiss Olafson etc. have asked if database team could collect ACP ststus at admission.[[User:TOstryzniuk|Trish Ostryzniuk]] 17:12, 2015 May 29 (CDT) | ||
*ACP C | *ACP C | ||
*ACP UK (no documented ACP on the chart) | *ACP UK (no documented ACP on the chart) | ||
*ACP R | *ACP R | ||
*ACP M+ (no cardiac | *ACP M+ (no cardiac recuss but accepting intubation) | ||
*ACP M- (no | *ACP M- (no recuss/no intubation) | ||
**(If ACP M is just written with no qualifiers then one would classify as ACP M-. Since a significant proportion of patient do want intubation but do not want CPR, I do think it is useful to distinguish). Kendiss. | **(If ACP M is just written with no qualifiers then one would classify as ACP M-. Since a significant proportion of patient do want intubation but do not want CPR, I do think it is useful to distinguish). Kendiss. | ||
*Collecting ACP status at admission and discharge would allow us to follow: | |||
Collecting ACP status at admission and discharge would allow us to follow: | **-% of patient with documented ACP during ICU | ||
*-% of patient with documented ACP during ICU | **-Level of care at both admission and discharge | ||
*-Level of care at both admission and discharge | **-% of patients with change in level of care during ICU | ||
*-% of patients with change in level of care during ICU | **-Level of care at the time of ICU death | ||
*-Level of care at the time of ICU death | |||
==question for collectors== | ==question for collectors== | ||
{{Discussion}} | {{Discussion}} | ||
is this east info to get at admission?--[[User:TOstryzniuk|Trish Ostryzniuk]] 17:12, 2015 May 29 (CDT) | |||
* | |||
** Yes, it easy to obtain this information at the time of admission, it is 9/10 that ACP is established in ER. Do you want us to collect when a change occurs ( often pt come in as a M and 24-72 hrs later, it is changed to APC -C ,or this occurs much later in the admission as well)--[[User:PStein|PStein]] 08:23, 2015 June 1 (CDT) | ** Yes, it easy to obtain this information at the time of admission, it is 9/10 that ACP is established in ER. Do you want us to collect when a change occurs ( often pt come in as a M and 24-72 hrs later, it is changed to APC -C ,or this occurs much later in the admission as well)--[[User:PStein|PStein]] 08:23, 2015 June 1 (CDT) | ||
***yes, at GGH ICU this is easy to obtain, I agree with Pat the ACP status often changes several times during an admission, do you want to capture these changes? or just ACP at admission and discharge? Is this ICU only? or medicine as well? [[User:Lkaita|Lisa Kaita]] 11:09, 2015 June 1 (CDT) | |||
* | [[Category: Take to TaskTeam]] | ||
[[Category:End-of-life related data]] | |||
[[Category: End-of-life related data]] | |||
Revision as of 10:09, 1 June 2015
ACP C stands for Advanced Care Plan. C = Comfort Care-Goals of Care and interventions are directed at maximal comfort, symptom control and maintenance of quality of life excluding attempted resuscitation
For more information see: PDF of ACP form used in Region (2013): WRHA Advanced Care Plan Form
In terms of our program, the concept is related to end of life data.
see also
Discussion
Template:Potential Change QI TEAM, Kendiss Olafson etc. have asked if database team could collect ACP ststus at admission.Trish Ostryzniuk 17:12, 2015 May 29 (CDT)
- ACP C
- ACP UK (no documented ACP on the chart)
- ACP R
- ACP M+ (no cardiac recuss but accepting intubation)
- ACP M- (no recuss/no intubation)
- (If ACP M is just written with no qualifiers then one would classify as ACP M-. Since a significant proportion of patient do want intubation but do not want CPR, I do think it is useful to distinguish). Kendiss.
- Collecting ACP status at admission and discharge would allow us to follow:
- -% of patient with documented ACP during ICU
- -Level of care at both admission and discharge
- -% of patients with change in level of care during ICU
- -Level of care at the time of ICU death
question for collectors
Template:Discussion is this east info to get at admission?--Trish Ostryzniuk 17:12, 2015 May 29 (CDT)
-
- Yes, it easy to obtain this information at the time of admission, it is 9/10 that ACP is established in ER. Do you want us to collect when a change occurs ( often pt come in as a M and 24-72 hrs later, it is changed to APC -C ,or this occurs much later in the admission as well)--PStein 08:23, 2015 June 1 (CDT)
- yes, at GGH ICU this is easy to obtain, I agree with Pat the ACP status often changes several times during an admission, do you want to capture these changes? or just ACP at admission and discharge? Is this ICU only? or medicine as well? Lisa Kaita 11:09, 2015 June 1 (CDT)