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]] and [[ALERT Scale]] in [[CCMDB.accdb]].  


== Instructions ==
== Instructions ==

Revision as of 15:12, 2020 December 23

This page explains how to select physiological or GCS values for entry into the fields used for Apache and ALERT Scale in CCMDB.accdb.

Instructions

Choose the worst value that occurs within the 24 hours after Accept DtTm.

This page is just a place holder for now, I am currently consolidating this info here. Ttenbergen 14:09, 2020 December 23 (CST)

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Moved here from Change to start collection at accept rather than arrive time needs integration: The APACHE elements time frame will start in the off-ward bed location.

  • 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. 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 :) 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. 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 apacheMlagadi 11:02, 2020 October 23 (CDT)
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