Query check CCI TISS discontinuous ETT
| Data Integrity Checks | |
| Summary: | T22 - ETT Present (TISS Item) should start with an T40 - Insertion of ETT (TISS Item) and end with an T28 - Planned extubation (TISS Item) or T29 - Unplanned extubation (TISS Item). |
| Related: | Insertion of ETT (TISS Item), Planned extubation (TISS Item), Unplanned extubation (TISS Item) |
| Firmness: | soft check |
| Timing: | complete |
| App: | CCMDB.accdb |
| Coding: | query check_CCI_TISS_discontinuous_ETT |
| Uses L Problem table: | not relevant for this app |
| Status: | implemented |
| Implementation Date: | 2021-11-10 |
| Backlogged: | No |
This query checks for some scenarios around intubation that are possible, but are entered erroneously often enough to make it worth warning about them. It is implemented as a soft check, so collectors can click past it.
Could happen in case of Tracheostomy creation in procedure suite
There might be no extubation if pt has a trach (T23 - Trach Tube Present (TISS Item)) created (Tracheostomy creation), since that would be done in OR and part of it would be the extubation. Since this would be a soft check, the collector could just OK past it if this is the case.
The check
intubation or extubation
- T28 - Planned extubation (TISS Item)
- T29 - Unplanned extubation (TISS Item)
- T40 - Insertion of ETT (TISS Item)
ETT or ventilation
conditions
- if previous date has no T22 - ETT Present (TISS Item) and today date has T22 - ETT Present (TISS Item) then T40 - Insertion of ETT (TISS Item) should be marked
- Error: No ETT_1, Has ETT_2, No intubation_2
- if previous date has T22 - ETT Present (TISS Item) and today date has no T22 - ETT Present (TISS Item) then previous date of the T29 - Unplanned extubation (TISS Item) or T28 - Planned extubation (TISS Item) should be entered
- Error: ETT_2, No ETT_3, no extub_2
- if previous date has T22 - ETT Present (TISS Item) and today date has T22 - ETT Present (TISS Item) and T40 - Insertion of ETT (TISS Item) are marked then today date of T29 - Unplanned extubation (TISS Item) or T28 - Planned extubation (TISS Item) should be marked
- Error: ETT_2, ETT_3, intub_3, no extub_2, no extub_3
- Error: ETT_2, ETT_3, extub_2, no intub_2, no intub_3
Another scenario:
- yesterday I have ETT
- today you t40 new insertion marked,
- but there is no extubation either yesterday or today
Another scenario:
- ett2 not null
- intub3 not null
- extub2 null
- extub3 null
- T28 - Planned extubation (TISS Item) or T29 - Unplanned extubation (TISS Item) can only be marked when both
- 1) T40 - Insertion of ETT (TISS Item) is marked on same day and
- 2) T22 - ETT Present (TISS Item) is not marked the next day.
- the sequence is today new insertion then extub and tomorrow has no tube.
Another scenario
- new insertion today
- tomorrow there is no ETT present
- there needs to be an extub present today
Log
- 2022-08-11 - tweaked the query to only run 1000 days back and to not include future dates (for a long-LOS pt the query was giving error "The query cannot be completed. Either the size of the query result is larger than the maximum size of a database (2GB), or there is not enough temporary storage space on the disk to store the query result.")
- 2022-02-09 - updated to broaden criteria 3 to not require ett3 to be any specific value; added criteria 5
- 2022-01-11 - updated to link days by Pat_ID properly
- 2022-01-10 - updated to work right with param parameter
- 2022-01-06 - activated as soft check
- 2021-11-10 - implemented query but not calling it from code yet, want Lisa or someone to check on this