CAM positive (TISS Item)
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(Redirected from Confusion Assessment Method)
see TISS Items SMW for other TISS items
| TISS Item | CAM positive (TISS Item) |
| TISS28 Category: | Neurological Support |
| TISS28 Row Number | 9 |
| TISS28 Description | CAM "+" any time today |
| TISS28 Points | 0 |
| TISS28 Item Number | 0 |
| TISS28 Comment: | added for Dr. Arora & Critical Care QI Team |
The Confusion Assessment Method is "an instrument for use in the intensive care unit to accurately diagnose delirium in critically ill patients who are often nonverbal because of mechanical ventilation."[1]
We are collecting CAM as CAM positive (TISS Item).
Data problems
Problems were flagged in:
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- Hard to tell in the numbers (whether marking is legit or not). Maybe another round of survey will help - are the data collectors marking or crossing out the entry if they find inconsistencies from various sources?--JMojica 14:02, 2017 May 11 (CDT)
- If I find inconsistencies I will correct and/or clarify with the bedside nurse Lisa Kaita 14:21, 2017 May 11 (CDT)
- I will do the same as Lisa, but it isn't always easy to clarify the CAM status of a patient if I am checking TISS sheets from previous days. Sometimes the systems review notes don't seem to correlate with the CAM score on the flow sheet. I have to use my judgement in these cases, so the CAM positive days are not always accurate.Mlagadi 14:57, 2017 May 18 (CDT)
Reporting
- The information was requested by Dr Arora - Quarterly report showing the monthly statistics regarding the Delirium/Confusion cases in complication Diagnosis, counts of patients with at least one day marked with CAM+ and total CAM+ days and their associated rates for STB ICMS, ICCS and ACCU.
- Report included in the Critical Care Regional OpPlan as requested by the QI Officer - Quarterly report of Delirium cases, Delirium Rates, Delirium Days and Delirium Rate Days for all ICUs in the region
- New - WRHA Critical Care Quality Indicator Chart Report for Directors and Managers - Quarterly report of Delirium cases, Delirium Rates, Delirium Days and Delirium Rate Days for all ICUs in the region
