Acquired Diagnosis / Complication: Difference between revisions
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''For other diagnoses, see [[Admit Diagnosis]] and [[Comorbid Diagnosis]].'' | ''For other types of diagnoses, see [[Admit Diagnosis]] and [[Comorbid Diagnosis]].'' | ||
'''Acquired Diagnoses''', also referred to as '''complications''', are ''the most significant'' problems, surgical procedures or diagnostic procedures that '''occur after''' unit admission. | |||
Acquired diagnoses are coded "in order of occurence" on a ward/unit. | |||
Acquired diagnoses do '''not''' refer to diagnoses that have been '''discovered''' after the patient comes to the unit if it is likely that the patient was admitted to ward with the problem in the first place but it took a few days to figure that out. | Acquired diagnoses do '''not''' refer to diagnoses that have been '''discovered''' after the patient comes to the unit if it is likely that the patient was admitted to ward with the problem in the first place but it took a few days to figure that out. | ||
== Maximum Number of Acquired Diagnoses == | == Maximum Number of Acquired Diagnoses == | ||
The PDA and the CCMDB.mdb can record | The PDA and the CCMDB.mdb can record as many acquired diagnoses as you want as you go along. However, only the '''nine (9)''' with the highest priority will be appended to [[TMSX]]. | ||
Since acquired diagnoses are prioritized by order of occurrence, this means that you might want to re-prioritize or delete more minor acquireds if keeping them would mean that a more major acquired diagnosis would not be within the 9 highest priorities, and therefore would not be sent. See [[Significant complications medicine]] & [[Significant complications ICU]] to guide you in this judgement. | |||
== loosing info for long-term patients== | |||
*As our ICU's have more and more LTV patients that are essentially a hospital hold for IICU ,Riverview etc this section will have to be re-vamped...ex: I have a pt that will soon have been in the ICU for a year. We are losing points and information about this patient as we are only counted for the top "9" with the highest priority. In my case I am deleteing numerous high priority complications because of this...so in the end... what is collected is not indicative of that patient at all????--[[User:Wturner|Wturner]] 13:15, 7 February 2010 (CST) | {{discussion}} | ||
*As our ICU's have more and more LTV patients that are essentially a hospital hold for IICU, Riverview etc this section will have to be re-vamped...ex: I have a pt that will soon have been in the ICU for a year. We are losing points and information about this patient as we are only counted for the top "9" with the highest priority. In my case I am deleteing numerous high priority complications because of this...so in the end... what is collected is not indicative of that patient at all????--[[User:Wturner|Wturner]] 13:15, 7 February 2010 (CST) | |||
** Trish, I think the way I cleaned up the main section of this article means that the max # of points possible will be collected. This would mean that Wendy's concern is addressed, correct? If you agree, please remove this section. [[User:Ttenbergen|Ttenbergen]] 16:58, 2 November 2010 (CDT) | |||
== should it be "acquired diagnoses" or "complications"? == | |||
{{discussion}} | |||
right now different terms are used in different places. EG CCMDB uses acquired, this article is acquired, I don't know what TMSX uses, but the category name is "complications". Can we settle on one? I am volunteering to clean this up on the wiki if we settle on one. [[User:Ttenbergen|Ttenbergen]] 16:58, 2 November 2010 (CDT) | |||
===Data Structure=== | |||
Acquired Diagnoses are drawn from [[S_AllDiagnoses]] and stored in [[L_Dxs]] on the PDA and in the [[CCMDB.mdb]]. | |||
[[Category: Complications]] | [[Category: Complications]] | ||
[[Category: Diagnosis Coding]] | [[Category: Diagnosis Coding]] | ||
[[Category:Data Collection Guide]] | [[Category: Data Collection Guide]] | ||
[[Category: Questions_Diagnosis]] | [[Category: Questions_Diagnosis]] | ||
Revision as of 16:58, 2010 November 2
For other types of diagnoses, see Admit Diagnosis and Comorbid Diagnosis.
Acquired Diagnoses, also referred to as complications, are the most significant problems, surgical procedures or diagnostic procedures that occur after unit admission.
Acquired diagnoses are coded "in order of occurence" on a ward/unit.
Acquired diagnoses do not refer to diagnoses that have been discovered after the patient comes to the unit if it is likely that the patient was admitted to ward with the problem in the first place but it took a few days to figure that out.
Maximum Number of Acquired Diagnoses
The PDA and the CCMDB.mdb can record as many acquired diagnoses as you want as you go along. However, only the nine (9) with the highest priority will be appended to TMSX. Since acquired diagnoses are prioritized by order of occurrence, this means that you might want to re-prioritize or delete more minor acquireds if keeping them would mean that a more major acquired diagnosis would not be within the 9 highest priorities, and therefore would not be sent. See Significant complications medicine & Significant complications ICU to guide you in this judgement.
loosing info for long-term patients
- As our ICU's have more and more LTV patients that are essentially a hospital hold for IICU, Riverview etc this section will have to be re-vamped...ex: I have a pt that will soon have been in the ICU for a year. We are losing points and information about this patient as we are only counted for the top "9" with the highest priority. In my case I am deleteing numerous high priority complications because of this...so in the end... what is collected is not indicative of that patient at all????--Wturner 13:15, 7 February 2010 (CST)
- Trish, I think the way I cleaned up the main section of this article means that the max # of points possible will be collected. This would mean that Wendy's concern is addressed, correct? If you agree, please remove this section. Ttenbergen 16:58, 2 November 2010 (CDT)
should it be "acquired diagnoses" or "complications"?
Template:Discussion right now different terms are used in different places. EG CCMDB uses acquired, this article is acquired, I don't know what TMSX uses, but the category name is "complications". Can we settle on one? I am volunteering to clean this up on the wiki if we settle on one. Ttenbergen 16:58, 2 November 2010 (CDT)
Data Structure
Acquired Diagnoses are drawn from S_AllDiagnoses and stored in L_Dxs on the PDA and in the CCMDB.mdb.