Pharmacy collection: Difference between revisions

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== How to enter the data  ==
== How to enter the data  ==
In the [[Patient viewer]], go to the [[Pharm_Flow]] tab.  
In the [[Patient viewer]], go to the [[Patient Viewer Tab Pharm_Flow]].  


For the drugs listed in black, enter the '''number of days''' for which a [[Drugs Collected | drug]] was given.
For the drugs listed in the row with a date at the start, enter the '''number of days''' for which a [[Drugs Collected | drug]] was given.


For the drugs listed in blue, enter a "1" if the drug was given even once during the admission, and a "0" otherwise. These drugs are not counted.  
For the drugs with check boxes, check the box if the drug was given '''even once during the admission'''. These drugs are not counted.  


Only collect the [[Drugs Collected | drugs]] specifically listed.  
Only collect the [[Drugs Collected | drugs]] specifically listed.  
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=== No PCA  ===
=== No PCA  ===
Do not collect drugs administered via PCA ([https://secure.wikimedia.org/wikipedia/en/wiki/Patient-controlled_analgesia Patient-controlled analgesia]) which is intermittent. As discussed and agreed by ICU task team - Dr. Allan Garland.
Do not collect drugs administered via PCA ([https://secure.wikimedia.org/wikipedia/en/wiki/Patient-controlled_analgesia Patient-controlled analgesia]) which is intermittent. As discussed and agreed by ICU task team - Dr. Allan Garland.
=== No epidural or intravertebral administration ===
We do not collect epidural or intravertebral.


=== oral/nasogastric tube drugs===
=== oral/nasogastric tube drugs===
Be sure to collect all intravenous and oral preparations for each drug unless otherwise noted (e.g. specified continuous infusions would be an exception).
Be sure to collect all intravenous and oral preparations for each drug unless otherwise noted (e.g. specified continuous infusions would be an exception).


=== Sending ===
{{Data Integrity Check List}}
The Pharmacy items SENT in for each patient does not show up in your EXCEL sheet that opens when [[Sending | sending patients]]. You do not need to check that this data is being sent.
 
== [[TISS]] / Pharm correlation  ==
The following items on your pharmacy form should be confirmed against the corresponding items on the [[:Category:TISS|TISS]]:
 
*vasoactive drugs, heparin, antiarrythmic marked in your history notes and pharmacy form (Tiss items 67, 68& 69 )
*check that TISS # 76 or 77 is marked against the antibiotics on the MAR
*check that Tiss 71 is marked when pt had potassium via central line;
*check #70 is marked if patient is on Vasopressin.
 
=== updating cleaner.mdb ===
* don't think this is added to [[Data cleaner.mdb general information | Cleaner.mdb]] yet. Trish, let me know the priority of this. [[User:Ttenbergen|Ttenbergen]] 19:22, 2012 September 6 (CDT)
** we don't have this in cleaner. Since we are changing to new TISS we should wait since some check will not be able to do.[[User:TOstryzniuk|Trish Ostryzniuk]] 11:09, 2012 September 7 (CDT)


== {{Data Integrity Rules}}  ==
== Legacy Info ==
* each patient has to have at least one line of no entries (implemented)
* after 2012-09-25
** Reduced number of drugs collected in [[L Pharm Flowsheet table]]
** started to collect some as yex/no boolean variables in [[L_Log table]]


* maximum count for any drug must be < LOS+2 if calculated using admit date/time & discharge date/(time or 23:59 if unavailable)
* after 2012-01-01
** implemented as LOS = CLng(Nz(Form_View.R_DisDate) + nz(Form_View.R_DisTime, 1)) - Nz(Form_View.R_AdmDate, 0))
** values collected into [[L Pharm Flowsheet table]]
** HSC collects like other sites
** change-over based on date of drug, so for profiles that straddle the change date some data could be in old and in new setup


== Dates / Startup / Legacy Info ==
* prior to 2012-01-01
*for patients admitted started after midnight January 1, 2012 and
** HSC labs were imported
*Stop collecting pharmacy the old way at the same time.
** other sites were all collected as counts in [[L_Pharm]] table
*If a profile has some collected by the old method and some by the new method that is OK. Consolidation, if required, will happen behind the scenes.
*For HSC where no manual collection was done prior, the '''new admissions''' starting Jan 1, 2012 will have manual pharmacy collection with the new [[Pharm_Flow]] sheet.
*As of January 1, 2012 @ 0001 hrs, only the new [[Pharm Flow]] sheet for pharmacy will be used.
* we used to count a different list of drugs, and all had doses and days counted before Jan 1 2012


== Related articles ==
{{Related Articles}}


[[Category:Pharmacy|*]]
[[Category:Pharmacy| *]]

Latest revision as of 11:28, 2022 February 17

The Critical Care Database collects Drugs Collected for critical care patients. The Medicine Program does not collect any pharmacy information.

How to enter the data

In the Patient viewer, go to the Patient Viewer Tab Pharm_Flow.

For the drugs listed in the row with a date at the start, enter the number of days for which a drug was given.

For the drugs with check boxes, check the box if the drug was given even once during the admission. These drugs are not counted.

Only collect the drugs specifically listed.

Data Entry Hints

  • double-click into a cell to up it by 1 (or in case of 0/1 drugs, to toggle between 0 and 1
  • hover over a cell to get a popup with the drugs that are part of any of the groups we collect
  • today's date automatically is put into the line when you enter a new line. This also helps to keep track of when you last counted drugs.
  • you can change the date using the "+" and "-" buttons, and enter today's date using the "*" button

Data Collection Hints

  • When reviewing the MAR for all drugs or flow sheets for infusions you may find it helpful to make a pencil mark after the drugs you have counted up to so that when you look at it again, the same drugs are not duplicate counted.

multiple lines for different days collected

To provide functionality similar to paper flow sheets you can add a line per day of collection. It is not mandatory to use multiple lines, the functionality is there only for data collector convenience. You don't need to list entries for a given day, the lines are there only allow you to break down your work if a patient stays for a long time. Values entered over multiple lines will be added up before sending; a listing for the sum wasn't included due to space restrictions.

no double-counting

  • If 2 drugs are in the same category, only count one day for each category (don't double count).
  • If a patient is on a combination of oral and intravenous for the same drug, only count the drug once per day regardless of administration route.

No PCA

Do not collect drugs administered via PCA (Patient-controlled analgesia) which is intermittent. As discussed and agreed by ICU task team - Dr. Allan Garland.

No epidural or intravertebral administration

We do not collect epidural or intravertebral.

oral/nasogastric tube drugs

Be sure to collect all intravenous and oral preparations for each drug unless otherwise noted (e.g. specified continuous infusions would be an exception).

Data Integrity Checks (automatic list)

 AppStatus
Check Sub PharmCheckCCMDB.accdbimplemented
Query check CCI TISS Pharm VasoactiveCCMDB.accdbimplemented

Legacy Info

  • after 2012-01-01
    • values collected into L Pharm Flowsheet table
    • HSC collects like other sites
    • change-over based on date of drug, so for profiles that straddle the change date some data could be in old and in new setup
  • prior to 2012-01-01
    • HSC labs were imported
    • other sites were all collected as counts in L_Pharm table

Related articles

Related articles:
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