|
|
| Line 24: |
Line 24: |
| *[[TISS Procedures Interventions]] | | *[[TISS Procedures Interventions]] |
| *[[TISS Legacy]] | | *[[TISS Legacy]] |
|
| |
| == Background ==
| |
|
| |
| * First introduced in 1974 by Cullen DJ, Civetta JM, Briggs BA, et al: Therapeutic scoring systems: A method of quantitative comparison of patient care. ''Crit Care Med'' 2:57-60, 1974) at the Massachusetts General Hospital. (TISS with 70 therapeutic variables).
| |
|
| |
| *Modified in 1983. (TISS with 76 therapeutic variables).
| |
| *Modified version in 1994 for use for intermediate and floor care nursing units (iTISS).
| |
| *Modified version in 1996. (TISS with 28 therapeutic variables).
| |
|
| |
| *'''ICU in the City of Winnipeg uses a locally modified version of the 1983 TISS-76 and has a list of 83 therapeutic variables.'''
| |
|
| |
| * TISS is a method of quantifying nursing and medical care required by
| |
| * TISS has become a widely accepted and validated method of classifying critically ill patients.
| |
|
| |
| * TISS is utilized in the USA, Canada and abroad for many purposes:
| |
| *# Determining severity of illness (NOTE: this capability of TISS has lost its application with the appearance of more specific scoring systems in the 1980).
| |
| *# Establishing nurse-patient ratios in the ICU
| |
| *# Assessing current utilization of ICU beds
| |
| *# Establishing future needs and numbers of ICU beds
| |
| *# Expresses work activities in statistical terms.
| |
|
| |
| * TISS has been incorporated as an integral part of the Acute Physiologic and Chronic Health Evaluation [[:Category:APACHE II|APACHE II]]
| |
|
| |
| * The comparative scores of TISS and APACHE enables us to see trends in the type of nursing care (TISS) provided for certain acuity levels (APACHE), for a specific type of diagnosis.
| |
|
| |
| * Reviewing both scores can help determine whether certain nursing activities can be redirected or standardized in certain types of critically ill patients without affecting patient mortality or morbidity.
| |
|
| |
| * Each of the most common ICU nursing activities is weighted from 1 to 4 point. More points indicate that greater nursing management is required.
| |
|
| |
| * A high daily TISS score indicates an increase in nursing workload.
| |
|
| |
|
| |
|
| |
|
|
| |
|
Therapeutic Intervention Scoring System
TISS Quality Control
- Data collectors are required to do quality control for the first 10 days of TISS.
<dig up quality control guide an insert here>
TOstryzniuk 15:23, 3 December 2008 (CST)
- the data processor runs internal consistency checks on the TISS data and will flag patients whose TISS information is inconsistent with their collected information. For a list of data consistency checks and rules, see the Data Integrity Rules Category.
Also see:
Discussion
- As LKolesar points out, there is variation in how the TISS is collected in different centers. Is this something we should look at? Ttenbergen 00:04, 27 May 2008 (CDT)