Query check CCI InExtubation consistent: Difference between revisions
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*****4) insert new tube and then extubated (1-1=0). When there are 2 insertions, the valid number of extubations =1,2,3 even if occurring at same or different days as insertion day, the difference will either be -1,0,1. Same holds true with 3 insertions or 4 insertions. there will be definite errors if the difference is >= 2 or <= -2. Having 1 insertion and 3 extubations or 3 insertions and 1 extubation are not possible and are errors. | *****4) insert new tube and then extubated (1-1=0). When there are 2 insertions, the valid number of extubations =1,2,3 even if occurring at same or different days as insertion day, the difference will either be -1,0,1. Same holds true with 3 insertions or 4 insertions. there will be definite errors if the difference is >= 2 or <= -2. Having 1 insertion and 3 extubations or 3 insertions and 1 extubation are not possible and are errors. | ||
****** Scenario: Pt arrives intubated. On day 1, they are extubated. On day 2 they are intubated, extubated and then intubated again on the same day, which will look on TISS as one insertion on that day and one removal. If you then had a removal the next day you will have an error because you have a count of 3 extubations with only 1 intubation. | ****** Scenario: Pt arrives intubated. On day 1, they are extubated. On day 2 they are intubated, extubated and then intubated again on the same day, which will look on TISS as one insertion on that day and one removal. If you then had a removal the next day you will have an error because you have a count of 3 extubations with only 1 intubation. | ||
****** yes, this scenario if indeed correct has to be checked with the dates and also not that frequent. I found a case of 3 days extubations and 1 day insertion which is questionable because the 2nd day extubation (4/18/2018) is not the same day as the insertion day (4/16/2018) and the 3rd extubation day is 4/23/2018 - is there a missing insertion before 4/23 or an extra extubation 4/18 or 4/23? | ****** yes, this scenario if indeed correct has to be checked with the dates and also not that frequent. I found a case of 3 days extubations and 1 day insertion which is questionable because the 2nd day extubation (4/18/2018) is not the same day as the insertion day (4/16/2018) and the 3rd extubation day is 4/23/2018 - is there a missing insertion before 4/23 or an extra extubation 4/18 or 4/23? Actually, the most common cases are either extubations >= 2 and zero intubations or zero extubation and intubations >= 2 which we assume as missed bubble that is why -2 and 2 are not included in the acceptable values. When I discussed with Trish the scenario you have cited, she said we still need an audit so we are aware and clear about the cases of two insertions done in a day.--[[User:JMojica|JMojica]] 10:19, 2018 November 21 (CST) | ||
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Revision as of 11:22, 2018 November 21
Data Integrity Checks | |
Summary: | Any marked TISS Item Insertion of ETT (TISS Item) or in ETT Present (TISS Item) must have at least one marked TISS item either in Planned extubation (TISS Item) or in Unplanned extubation (TISS Item) |
Related: | Insertion of ETT (TISS Item), Planned extubation (TISS Item), Unplanned extubation (TISS Item) |
Firmness: | hard check |
Timing: | always |
App: | Centralized data front end.accdb |
Coding: | |
Uses L Problem table: | not entered |
Status: | needs review |
Implementation Date: | 2018-10-25 |
Backlogged: | true |
Any marked TISS Item Insertion of ETT (TISS Item) or in ETT Present (TISS Item) must have at least one marked TISS item either in Planned extubation (TISS Item) or in Unplanned extubation (TISS Item)
Query1 - Insertion of ETT and Extubation consistency
- A = Total the number of days Insertion of ETT (TISS Item) are marked per patient
- B = Total the number of days Planned extubation (TISS Item) and Unplanned extubation (TISS Item) are marked per patient
- The difference between A and B can be -1, 0, 1. Other values will be questionable.
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