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| The '''Confusion Assessment Method''' is "an instrument for use in the intensive care unit to accurately diagnose [[Confusion/Delirium | delirium]] in critically ill patients who are often nonverbal because of mechanical ventilation."[http://journals.lww.com/ccmjournal/Abstract/2001/07000/Evaluation_of_delirium_in_critically_ill_patients_.12.aspx]
| | #redirect: [[CAM positive (TISS Item)]]. |
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| We are collecting CAM as [[TISS 28 item 9]].
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| == Data problems ==
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| Problems were flagged in:
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| * [[TISS28 collection Survey January 7, 2013]]
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| * [[TISS28 collection & scanning Survey April 16, 2013]]
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| {{discussion}}
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| Did these ever get better? Ttenbergen 12:44, 2017 May 11 (CDT)
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| *Hard to tell in the numbers (whether marking is legit or not). Maybe another round of survey will help - are the data collectors marking or crossing out the entry if they find inconsistencies from various sources?--[[User:JMojica|JMojica]] 14:02, 2017 May 11 (CDT)
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| **If I find inconsistencies I will correct and/or clarify with the bedside nurse [[User:Lkaita|Lisa Kaita]] 14:21, 2017 May 11 (CDT)
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| **I will do the same as Lisa, but it isn't always easy to clarify the CAM status of a patient if I am checking TISS sheets from previous days. Sometimes the systems review notes don't seem to correlate with the CAM score on the flow sheet. I have to use my judgement in these cases, so the CAM positive days are not always accurate.[[User:Mlagadi|Mlagadi]] 14:57, 2017 May 18 (CDT)
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| == Reporting ==
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| *The information was requested by Dr Arora - [[Quarterly report]] showing the monthly statistics regarding the Delirium/Confusion cases in complication Diagnosis, counts of patients with at least one day marked with CAM+ and total CAM+ days and their associated rates for STB ICMS, ICCS and ACCU.
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| *Report included in the [[Critical Care Regional OpPlan]] as requested by the QI Officer - [[Quarterly report]] of Delirium cases, Delirium Rates, Delirium Days and Delirium Rate Days for all ICUs in the region
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| *New - [[WRHA Critical Care Quality Indicator Chart Report]] for Directors and Managers - Quarterly report of Delirium cases, Delirium Rates, Delirium Days and Delirium Rate Days for all ICUs in the region
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| == See also ==
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| * [http://sgec.stanford.edu/webinar/2012Handouts/Mar/2012CAMpocketcard.pdf Quick Reference]
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| * [http://anesreatoulouse.free.fr/S%E9minaires%20DES%20anesth%E9sie%202005-2006/Anesth%E9sie%20selon%20le%20terrain%20septembre%202005/Alcohol/CAM-ICU%20CCM_2001.pdf Evaluation of delirium in critically ill patients: Validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)]
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| * [[Confusion/Delirium]]
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| [[Category:Diagnosis not coded]]
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