Green sheet

The [Green Sheet] form is a bright green colored paper form that is used in Critical Care and on Medicine wards in the Region and it's purpose is to obtain "required" participation in the Database Program from the attending physician for the following:

1. primary admitting diagnosis
2. complications (problems, procedures and surgery) that occur after unit admission (also referred to as "acquired diagnosis").
3. Comorbid conditions
4. Admit, Transfer and Discharge date and time
5. Discontinuation of Treatment

Data Collector Responsibility RE: Green sheets

• remind site attending physicians to complete these form.
• record SERIAL number on each form
• ensure addressograph info on each form
• collect and enter greensheet compliance information in L_Green table in HanDBase on the PDA for each patient (APPLICABLE to all Medicine wards and STB ICU's only)
• collect and submit to main database processing office for each patient that is discharge from unit
  • before submitting to office organize forms from lowest to highest serial number order
  • clip together and attach a TAG with the following information:

Site, Location, Program, batch sent number, initials: (Example: HSC D4 MED Batch 10 BB)

• Go to greensheets.mdb article for information about "form compliance" monitoring.

Discussion

• There has been ongoing debate about the value of us tracking the degree to which they are being filled out. Should we continue to do this on a regular basis? Ttenbergen 21:03, 4 June 2008 (CDT)

• I think there is more to the greensheets issue than just if they are filled out and to what extent. The question is, how useful is this information. I think we should do an audit on greensheets for a certain time frame and see if the data collectors find the information on the green sheets of any value. Tina, perhaps this could be put in the temp. file? EXAMPLE: How useful was this green sheet information? Very helpful; Somewhat helpful; Not helpful . After this type of audit we could then evaluate if the green sheets are worth keeping. What does everyone think?--LKolesar 09:14, 7 April 2009 (CDT)
  • In all honesty, I do not rely on the green diagnoses forms as there are too many differences in our coding definitions vs. physician definiton i.e. ARF vs. ARI, Hyperkalemia etc. Even transfer ready date & time is not reliable. SCortilet 13:02, 7 April 2009 (CDT)
    • At the Vic ICU the green sheets are filled out very sporadically. We also may have a Doc write in an adm diagnosis of respiratory failure for example. This is not helpful & cannot be used. We have recently put the green sheets in front of the med orders which has only very marginally increased compliance with them being completed. Frankly after 10 years of this we no longer hound the Docs to fill them in. NMiller NMiller

Template:Stub