Green sheet

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The Green Sheet form is a bright green colored paper form that is used in Critical Care and on Medicine wards in the Region to obtain "required" participation in the Database Program from the attending physician for the following:

  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

  • remind site attending physicians to complete these form.
  • record SERIAL number on each form
  • ensure addressograph info on each form
  • enter greensheet compliance information in TMP file L_Green table in HanDBase on the PDA for each patient (APPLICABLE to all Medicine wards and STB ICU's only)
  • 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)

DISCUSSION

    • Julie and I discussed discontinuing compliance data on the PDA with Dr. Roberts. He has approved this change. Collection will need to continue for now until I have changed the CCMDB to not require this any more. Will let everyone know. Ttenbergen 22:45, 4 May 2009 (CDT).

October 28.09

      • Greensheet complicance tallying on the PDA stopped August 20.09. For those of you who are still entering greensheet data on your PDA or netbook please stop. ---TOstryzniuk 19:21, 28 October 2009 (CDT)

Comments

  • I think there is more to the greensheets issue than just if they are filled out and to what extent. The question is, how useful is this information. I think we should do an audit on greensheets for a certain time frame and see if the data collectors find the information on the green sheets of any value. Tina, perhaps this could be put in the temp. file? EXAMPLE: How useful was this green sheet information? Very helpful; Somewhat helpful; Not helpful . After this type of audit we could then evaluate if the green sheets are worth keeping. What does everyone think?--LKolesar 09:14, 7 April 2009 (CDT)
    • In all honesty, I do not rely on the green diagnoses forms as there are too many differences in our coding definitions vs. physician definiton i.e. ARF vs. ARI, Hyperkalemia etc. Even transfer ready date & time is not reliable. SCortilet 13:02, 7 April 2009 (CDT)
      • At the Vic ICU the green sheets are filled out very sporadically. We also may have a Doc write in an adm diagnosis of respiratory failure for example. This is not helpful & cannot be used. We have recently put the green sheets in front of the med orders which has only very marginally increased compliance with them being completed. Frankly after 10 years of this we no longer hound the Docs to fill them in. NMiller NMiller
        • At the Oak in ICU there is very poor compliance rate in completing these forms. Wendy Turner, 23, April, 2009 1400 hrs.