Green sheet

Green sheet use Survey

Just put your name under answsers best for your unit. Feel free to post comment. Data Collectors: At your site, do you find the information on the green sheet:

very useful

Trish Ostryzniuk 13:04, 2013 November 5 (CST) (example)

never refer to it at all

The Diagnosis "Greensheet" is used by the Critical Care Physicians in the Region. The information on the form provides some of the data we collect and supports data collectors efforts.

• Critical Care Greensheet form

Data on Greensheet

1. primary admitting diagnosis
2. complications (problems, procedures and surgery) that occur after unit admission (also referred to as "acquired diagnosis").
3. Comorbid conditions
4. Admit, Transfer and Discharge date and time
5. Discontinuation of Treatment

Data Collector Responsibility RE: Green sheets

• ICU & CCU Collection only
• remind site attending physicians to complete these form.
• record Serial number on each form
• ensure addressograph info on each form

• collect and submit paper form to main database processing office for each patient that is discharge from unit
  • before submitting to office organize forms from lowest to highest serial number order
  • clip together and attach a TAG with the following information:

Site, Location, Program, batch sent number, initials: (Example: HSC D4 MED Batch 10 BB)

Only Legacy data below here!

Legacy data

Green Sheet Compliance Data Stop Date

There used to be data collection and tallying by our collectors to keep track of physician compliance. This is no longer done as of August 20.09. The Statistician has the compliance reports from the greensheets.mdb.

Medicine Green Sheet Stop Date

As of December 7, 2009, after email directions from Dr. Roberts, greensheets are no longer facilitated or processed on medicine units by the medicine database program.

• Medicine Greensheet legacy form