Selection and timing of APACHE components: Difference between revisions

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This page explains how to select [[physiological]] or [[GCS]] values for entry into [[Apache]] fields in [[CCMDB.accdb]].  
This page explains how to select [[APACHE physiological variable collection|physiological]] or [[GCS]] values for entry into the fields used for [[APACHE physiological variable collection]] in [[CCMDB.accdb]].  


== Instructions ==
== Collection Instructions ==
Choose the worst value that occurs within the 24 hours after [[Accept DtTm]].  
Choose the '''''worst''''' value that occurs '''within the 24 hours after the first [[Service tmp entry]] DtTm'''.  


{{Discuss |
The '''''worst''''' value could be '''high''' or '''low''', depending which gives the most [[APACHE Scoring table#Chemistry_values| points]].
This page is just a place holder for now, I am currently consolidating this info here. [[User:Ttenbergen|Ttenbergen]] 14:09, 2020 December 23 (CST)
}}


Moved here from [[Change to start collection at accept rather than arrive time]] needs integration:
See [[APACHE physiological variable collection]] for what to do if there are no values available in the first 24 hours.
The APACHE elements time frame will start in the off-ward bed location.
{{Discuss |
* Does it really start in ER? since that's now one off-ward location? In any case, we should really only link to the definition in APACHE from here so this doesn't become inconsistent. If someone knows where that's documented, can you please confirm and fix? Ttenbergen 00:36, 2020 October 16 (CDT)
**I haven't been able to find it on the Wiki, but I was told to get my values for my Apache from the previous location. So for example a patient getting admitted to the ward from ER, the Apache values would be the ones just prior to their Accept Dt/Tm. Think "this was their condition when they were accepted by medicine". If it's a transfer to the ward from ICU, I take the last values before they left. [[User:Surbanski|Surbanski]] 11:14, 2020 October 19 (CDT)
** To confirm for patients admitted from ER, Apache vital signs are taken from closest to but prior to Accept Date/time?
***For medicine yes. I don't know if ICU does anything different. If I've been doing it wrong I expect someone from medicine at the other sites will say something :) [[User:Surbanski|Surbanski]] 10:31, 2020 October 20 (CDT)
****Dose ICU start there APACHE and TISS from the ER accept time or ICU admit time. Currently we collect from the ER accept time only when the patient is boarded in the ER for greater than 2 hours. [[User:Gthomson2|Gthomson2]] 10:43, 2020 October 20 (CDT)
*****Since Oct.15th, I have been using the 24 hour period after the accept time, which means that I am including the applicable Vitals from ER if the patient was from the ER. I wasn't at the task meeting yesterday, so I don't know if this was discussed, but this was my understanding of how we are supposed to collect apache[[User:Mlagadi|Mlagadi]] 11:02, 2020 October 23 (CDT)}}


{{Timing for ALERT vs APACHE}}


== Log ==
* 2020-10-15 - used to start at "Arrive DtTm", now starts at "Accept DtTm"; it is possible that there used to be a rule "currently we collect from the ER accept time only when the patient is boarded in the ER for greater than 2 hours" but it no longer applies.


== Related articles ==  
== Related articles ==  

Latest revision as of 12:00, 2022 April 21

This page explains how to select physiological or GCS values for entry into the fields used for APACHE physiological variable collection in CCMDB.accdb.

Collection Instructions

Choose the worst value that occurs within the 24 hours after the first Service tmp entry DtTm.

The worst value could be high or low, depending which gives the most points.

See APACHE physiological variable collection for what to do if there are no values available in the first 24 hours.

Timing of ALERT vs APACHE

Selection and timing of APACHE components and ALERT Scale timing of assessment use similar but different criteria. They can't be unified because one uses values based on being closest to acceptance, and the other based on being worst.

Log

  • 2020-10-15 - used to start at "Arrive DtTm", now starts at "Accept DtTm"; it is possible that there used to be a rule "currently we collect from the ER accept time only when the patient is boarded in the ER for greater than 2 hours" but it no longer applies.

Related articles

Related articles:
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