TISS: Difference between revisions

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==Use==
* 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.
==Points==
 
* 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.
 
==Scoring==
* Each of the most common ICU nursing activities is weighted from 1 to 4 point. More points indicate that greater nursing management is required.
* Each of the most common ICU nursing activities is weighted from 1 to 4 point. More points indicate that greater nursing management is required.



Revision as of 18:48, 2 February 2009

Therapeutic Intervention Scoring System



Points

  • 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.


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)