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Gangrene, NOS

can we use this code for necrosis or necrotic wounds? Lisa Kaita 11:57, 2024 April 17 (CDT)

  • discussed at April 24 TASK Allan will give this thought and address it at next TASK Lisa Kaita 20:01, 2024 April 24 (CDT)
25 April 2024 01:01:29
ICD10 Guideline Sepsis

How hard of a rule is lactate >2? If they meet the criteria for septic shock with the exception of a high enough lactate, can we code septic shock Lisa Kaita 12:17, 2024 April 17 (CDT)

  • discussed at TASK April 24, Dr Ziegler is researching various definitions of septic shock and will speak to this at next TASK Lisa Kaita 19:57, 2024 April 24 (CDT)
25 April 2024 00:57:46
Query s tmp Boarding Loc ER delay reasonable

There are many false positives due to ICU delays shorter than 30 mins. Do we want to change anything about that threshold? Discussed with Julie and Lisa today but can't remember the outcome. Ttenbergen 10:58, 2024 April 24 (CDT)

  • No we are fine with the thresholds, collectors are not happy about how many times the soft check prompts them, at least 3 when checking off the box, and then a couple more when we complete the file, you were going to think about this more Lisa Kaita 15:59, 2024 April 24 (CDT)
24 April 2024 20:59:31
STB ICUs VAP Rate, CLIBSI Rate Summary
  • IIRC we collected CAM positive (TISS Item) specifically for this, right? If so, can we stop collecting it? And can we make sure a stoppage like this in the future results in reviewing what we collect? Ttenbergen 10:02, 2024 March 20 (CDT)
    • Delirium rate per 1000 days per unit is being reported in the OIT Reports. ---JMojica 11:49, 2024 March 20 (CDT)
      • As in Delirium days is reported in Critical Care Program Quality Indicator Report? But that doesn't mention anything about per-1000-days. Ttenbergen 17:00, 2024 March 20 (CDT)
      • The rate is mentioned in the succeeding definition with the delirium days as numerator. Your proposal here is to stop collecting TISS item CAM positive which I disagree because that TISS item is being used and reported as rate in OIT Report. Besides, the reason why it was dropped in in the STB VAPCLI report is because the requestor has changed. Brett Hiebert who used to request this was involved in the VAP group and another Delirium group so he asked to have both as one request. Brett had left and the VAP group filled up a new request to continue the VAP data and not on the delirium data. --JMojica 13:58, 2024 March 25 (CDT)
8 April 2024 16:27:53
Sepsis (SIRS due to infection, without acute organ failure)

How hard of a rule is lactate >2? If they meet the criteria for septic shock with the exception of a high enough lactate, can we code septic shock Lisa Kaita 12:17, 2024 April 17 (CDT)

  • discussed at TASK April 24, Dr Ziegler is researching various definitions of septic shock and will speak to this at next TASK Lisa Kaita 19:57, 2024 April 24 (CDT)
9 March 2019 21:24:42