Task Team Meeting - Rolling Agenda and Minutes 2025

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Also see Task Team Meeting - Rolling Agenda and Minutes 2023

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ICU Database Task Group Meeting – December 4, 2024

• Present: Allan, Lisa, Julie, Jen, Mindy, Pagasa, Hardeep, Allyson, Val, Gail, Mailah, Dan, Tina
• Minutes prepared by: AG
• Action items in BOLD

1. Dan explained a modification/expansion of the ward Overstay project

• Currently we have a "transfer ready" date flag(Transfer Ready DtTm tmp entry) -- which indicates when not only the medical team, but all involved ancillary services deem the patient cleared to leave the hospital
• We are adding a new "medically ready" flag (Project MR) -- which indicates when the ward medical team considers the patient able to leave hospital. Dan explained that he is working with the sites and the ward physicians to ensure that they identify this timepoint in the notes and/or orders.
• Also, we have begun collecting the existence of ancillary health consults on wards (Project AHC)

2. Update on Pneumonia, ventilator-associated (VAP)‎‎ coding

• Lisa related that at the recent meeting of all data collectors, Jen presented the current VAP coding criteria, including the CDC 14-day blackout period for identifying subsequent pneumonias of any type
• After discussion, we agreed continue to consider ECMO patients for VAPs -- this is relevant because CDC guidelines exclude that patient population.
• The question arose about whether that 14 day rule should apply to bacterial superinfection of an initial viral pneumonia:
  • There is rationale for both doing and not doing this.
  • Before we make a final determination, Jen will perform a literature search about the frequency of such an event.
• As the items contained in the "Recent Previous Pneumonia" segment of what is now on the VAP page (mainly the 14 day blackout rule) is relevant to all pneumonias, Tina will convert that to a template to be included in all the pneumonia Wiki pages
  • worked with Lisa to make Template:ICD10 Recent Previous Pneumonia but it still needs to be applied to the relevant pages
• Jen will add some clarifying material to the 2nd primary bullet of the "Recent Previous Pneumonia" segment

3. Should we categorize locations (dispo, previous locations, pre-admit) as general locations or as a specific location?

4. Add decubitus ulcer locations, request from SICU manager, Andie did a study evaluating the use of a new mepilex protective dressing. Her findings are as follows:

• 6 months pre-trial n=27 with 12 non-coccyx ulcers

Total sacral/coccyx/buttock injuries- 15 
Stage 1	1
Stage 2	13
Stage 3	0
Stage 4	0
DTI	1

During/post 6 months (just missing November data at this time). n=13 with 10 or possible 7 non-coccyx ulcers

Total sacral/coccyx/buttock injuries- 3 confirmed (however, 3 charts not reviewed yet…so could be up to 6)
Stage 1	 
Stage 2	 
Stage 3	1
Stage 4	 
DTI	1
Unstagable	1

• • Knowing the location long term will help us to track long term how we are doing without having to review every chart. While overall pressure injuries are good to know anecdotally, it doesn’t really give the big picture of if we are making an impact on the care. Especially since you are looking at the location anyways, does it hurt to record the area? Even a range of areas?
  • Our only tool currently to know locations etc is RL6 and we are quite certain that wounds are extremely underreported in RL.. I have not compared the data from the last year in RL vs these charts but I presume it will reflect this.
  • We also need to add DTI as a new stage

5. Can we stop collecting past history of covid-19 infection (U07.5)? - Allan to email Bojan

6. Next meeting January 29 at 10 am CST

2024...

Also see Task Team Meeting - Rolling Agenda and Minutes 2024