! TISS76 Collection Guide

Therapeutic Intervention Scoring System

This category contains basic information about collecting Therapeutic Intervention Scoring System (TISS) data.

"Black Blobbing" - is the filling in of circles on the ICU TISS form completely with a black marker.

This is done by the data collector on the FIRST 10 DAYS of TISS. Purpose is to quality check the the forms, and secondly to make sure form bubbles on are filled in clearly and cleaning.

The scanning program Teleform will not detect circles that are not filled completely with a sufficiently dark marker. Since it is impossible to control how bedside staff fill out the form, or for data collectors to gauge accurately what the scanner will be able to recognize, the has mandated that all TISS forms must have their filled circles “black blobbed” fully with a marker prior to handing in for scanning.

• this is part of the quality assurance that the collectors must do on the first 10 days of TISS only.

• Here is an example of part of a TISS form when pencil is used: poorly marked TISS from
• TOstryzniuk 15:20, 3 December 2008 (CST)

Who fills out the TISS

• TISS is done retrospectively for the previous 24 hours of care in ICU.
• In some centers it is done ongoing as care is given.--LKolesar 11:29, 21 May 2008 (CDT)

• TISS is generally done by Night staff.
• In some centers it is done on all shifts as an ongoing tool.--LKolesar 11:29, 21 May 2008 (CDT)

• Day and Evening staff are also required to fill out a TISS if a patient is discharged or passes away on their shift. TISS done on Day or Evening shift reflects the workload from midnight to time of discharge or death.

• If a patient is in the ICU a very short time, a TISS score is required to reflect nursing efforts during this time.

• Do not sent TISS form to the ward with the chart. Please hand it in to the Unit Clerk who will file it in the Research Forms binder.

• Once the first 5 days of TISS are completed, please do not staple together. Hand in the completed form to the Unit Clerk and start a new form. Scanning of forms is affected if stapled.

• TISS is to be done for a patients entire length of stay in ICU.

• If a patient is transferred to another ICU, do not sent the form to the other center.

• If a patient is transferred to another ICU in your center and the Service looking after the patient changes, then a new TISS form is required. E.G., a patient who goes from MICU under Medical Service and is transferred to SICU under Surgical service.
• See TISS 2 hour rule for patients admitted after 2200 or discharged before 0200

TISS Quality Control Guide

• Data collectors are required to do quality control for the first 10 days of TISS.
• dig up quality control guide an insert here.--TOstryzniuk 15:23, 3 December 2008(CST)
• the data processor runs internal consistency checks on the TISS data and will flag patients whose TISS information is inconsistent with their collected information.
• For a list of data consistency checks and rules, see the Data Integrity Rules Category.

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)