Nursing Workload

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Average TISS28 score per patient

Indicators
Indicator: Nursing Workload
Created/Raw: Created
Program: Critical Care
Start Date: 2013-01-01
End Date: 2020-10-01
Reports: Critical Care Program Quality Indicator Report


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Usually used in aggregate form as "per location" and/or "per timeframe", e.g. by day/month/quarter/year x Ward/Unit x Hospital.

Starting Oct 1, 2020, the Daily TISS Score which is based on all TISS 28 elements was no longer calculated since collection of all TISS28 elements was stopped (i.e. only a subset of it has continued).

QI domain

  • Safe
  • Staff workload

Significance

TISS28 score reflects nursing workload. Average TISS scores per patient can be used to plan staffing requirements.

Sampling Plan / Procedure

Inclusion Criteria

100% all admissions

Exclusion Criteria

None

Frequency

Monthly, quarterly or yearly based on calendar dates

Definition and Derivation

Each element in TISS28 has a point if present.

Daily TISS Score is the sum of the individual element points for each day of ICU stay.

Each patient has a Daily TISS Score.

Numerator

Num = Sum of the Daily TISS Score of all patients in a given time frame

Denominator

Denom = Number of calendar days * Average Daily Bed Occupancy (Bed occupancy) on the same time frame

Formula

Average TISS Score per patient per day= Num / Denom

Data Sources

TISS28

Admit DtTm, Dispo DtTm

SAS Program

  • S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\all_bed_occupancy.sas
  • S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\Prep_TISSandCCI.sas

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