Projects
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Active?:
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planned
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Program:
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Med
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Requestor:
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Dan Roberts
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Collection start:
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within the next week or so "within the next week or so" contains an extrinsic dash or other characters that are invalid for a date interpretation.
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Collection end:
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somewhere between 100 records and 3 months
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Data Collection
For any medicine record being sent after the project start date, capture whether there were any allied health consults.
Data Entry Instructions
The following lines will automatically be added to each new medicine record:
- Project: AHC_HC - Item: "not entered" (because you haven't set a value yet)
- Project: AHC_OT - Item: "not entered"
- Project: AHC_PT - Item: "not entered"
- Project: AHC_SW - Item: "not entered"
- Project: AHC_SLP - Item: "not entered"
- Project: AHC_Dietician - Item: "not entered"
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- After beta testing Joanna and I thought it would be easiest if all the above fields are pre-populated on entry with a default to not entered Lisa Kaita 12:54, 2024 November 29 (CST)
- That was the plan, is that not what is happening? Ttenbergen 12:55, 2024 November 29 (CST)
- not for existing records we enter manually, but we didn't receive COGNOS today so maybe with new admits it does! will keep you posted Lisa Kaita 14:42, 2024 November 29 (CST)
- yes, it's the new patient entry that should populate them automatically as part of making the record from cognos, I have no mechanism set up to do this in existing records. Ttenbergen 15:36, 2024 November 29 (CST)
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- Item: change the item dropdown as follows as you come across information
- "yes" - if you found any consult for (Home care HC, Occupational therapy OT, Physiotherapy PT, Social Work SW)
- "no" - if you have finished the chart and didn't find one
- Date: date of the first consult if available, if consult not in chart but there is clear documentation in the chart use the dttm of the first note/assessment (best guess better than nothing but not mandatory)
- Time: time (if available) of the first consult
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- if not available/documented should we have that as an option? Lisa Kaita 13:59, 2024 November 28 (CST)
- two options... checkbox for "time missing" or better to say do a best guess but must enter. Thoughts? Ttenbergen 14:16, 2024 November 28 (CST)
- good with checkbox but does Dr R have any ideas of what his preference would be? Lisa Kaita 14:44, 2024 November 29 (CST)
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- Integer: not used
- Real: not used
- Checkbox: not used
- Comment: not used
Sources
- SBGH in EPR - check for consults in the orders tab, there will also be documentation in the documents section by the various allied health teams, if they have been consulted
- HSC and GGH - check for an order and also the consult sections of the chart, there will also be documentation in the notes section by the various allied health team, if they have been consulted
<details?>
<clarifications, usually come up during first few days of collection>
Special Cases
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- If the pt is discharged from one of the allied health teams do we want to capture this dttm as well? also, if they are dc'ed by an allied health team member and then reconsulted, should we be capturing the second consult? Lisa Kaita 13:59, 2024 November 28 (CST)
- one of test cases today had this happen, I entered both consult dttm, I could not find a dc date from the initial consult Lisa Kaita 12:55, 2024 November 29 (CST)
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- If the consults happen before medicine accepts do we enter that date and time? Or the dttm of the first time an allied health person sees them on the medicine ward. (LK)
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- This would be applicable to transfers as well from wards/icu’s within the current facility, outside we would follow the outlined process. (LK)
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- At STB homecare will often "self consult" how should this be handled
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Data Use
This data is being collected as a current state for Project Overstay2.
Consistency Checks
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