CAM positive (TISS Item)
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see TISS Item List for other TISS items
| TISS Item | |||||||||||||
| Item Description | CAM positive (TISS Item) | ||||||||||||
| TISS28 Category: | Neurological Support | ||||||||||||
| TISS28 Row Number | 9 | ||||||||||||
| TISS28 Description | CAM "+" any time today | ||||||||||||
| TISS28 Points | 0 | ||||||||||||
| TISS28 Item Number | 9 | ||||||||||||
| TISS28 Start Date | |||||||||||||
| TISS28 End Date | |||||||||||||
| TISS28 Comment: | added for Dr. Arora & Critical Care QI Team | ||||||||||||
This procedure is a part of CCI Collection via CCI Picklist. | |||||||||||||
Collecting "CCI collect each day" items
- "CCI collect each day" items are entered each time they happen
- Px Date
- if an Acquired Procedure, enter the Px Date for each day that they happen
- if an Admit Procedure leave the date blank
- Px Count
- enter 1 regartless of how many times a day the procedure happened
- this is usually the collection mode for TISS28 items, see TISS28 Collection Guide, and for some items that have replaced TISS items
Px Date for patients who move
See Px Date#Moves
About CAM Evaluation
- CAM stands for Confusion Assessment Method-- it 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]
- To even be evaluable for CAM assessment, a patient must be conscious. Thus, in reality, a given CAM assessment has 3 possible findings: (i) not evaluable, (ii) evaluable and CAM-positive, or (iii) evaluable and CAM-negative.
- CAM status is currently recorded in ICUs in two places:
- On the ICU flowsheet, as an indication of CAM-positive versus not being CAM-positive; as above the latter includes evaluable and CAM-negative or not evaluable. Of note, the ICU nurses evaluate for delerium multiple times per day.
- On the TISS sheet, as a bubble for being CAM-positive versus not being CAM-positive. Here there is just a single yes/no bubble, so that NOT being CAM-positive can mean either that there were no evaluable assessments during that day or that there was at least one evaluable assessment and all of those were CAM-negative.
- The users of this data (including Rakesh Arora in ICCS) are mainly counting the number of ICU days in which a patient is CAM-positive -- which of course only includes days on which there is at least one CAM-evaluable assessment.
We are collecting CAM as T9 - CAM positive (TISS Item).
Data problems
Problems were flagged in:
Old discussion:
- 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
See page
| Indicators | |
| Indicator: | CAM positive (TISS Item) |
| Created/Raw: | Raw |
| Program: | Critical Care |
| Start Date: | |
| End Date: | |
| Reports: | Directors Quarterly Report (Critical Care), STB ICUs CAM Rate, VAP Rate, CLIBSI Rate Summary |
- 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.
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- 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 - Directors Quarterly Report (Critical Care) for Directors and Managers - Quarterly report of Delirium cases, Delirium Rates, Delirium Days and Delirium Rate Days for all ICUs in the region
See also
- Evaluation of delirium in critically ill patients: Validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU)
- Confusion/Delirium
Data Integrity Checks (SMW)
| App | Status | |
|---|---|---|
| Query TISS Errors CAM positive vs Dx | CCMDB.accdb | needs review |