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| '''T'''herapeutic '''I'''ntervention''' S'''coring '''S'''ystem
| | #redirect:[[TISS General Info]] |
| == Background ==
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| * First introduced in 1974 by Cullen DJ, Civetta JM, Briggs BA, et al: Therapeutic scoring systems: A method of quantitative comparison of patient care. ''Crit Care Med'' 2:57-60, 1974) at the Massachusetts General Hospital. (TISS with 70 therapeutic variables).
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| *Modified in 1983. (TISS with 76 therapeutic variables).
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| *Modified version in 1994 for use for intermediate and floor care nursing units (iTISS).
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| *Modified version in 1996. (TISS with 28 therapeutic variables).
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| *'''ICU in the City of Winnipeg uses a locally modified version of the 1983 TISS-76 and has a list of 83 therapeutic variables.'''
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| * TISS is a method of quantifying nursing and medical care required by ICU patients
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| * TISS has become a widely accepted and validated method of classifying critically ill patients.
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| ==Use==
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| * TISS is utilized in the USA, Canada and abroad for many purposes:
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| *# Determining severity of illness (NOTE: this capability of TISS has lost its application with the appearance of more specific scoring systems in the 1980).
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| *# Establishing nurse-patient ratios in the ICU
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| *# Assessing current utilization of ICU beds
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| *# Establishing future needs and numbers of ICU beds
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| *# Expresses work activities in statistical terms.
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| * TISS has been incorporated as an integral part of the Acute Physiologic and Chronic Health Evaluation [[:Category:APACHE II|APACHE II]]
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| * The comparative scores of TISS and APACHE enables us to see ''trends'' in the type of nursing care (TISS) provided for certain acuity levels (APACHE), for a specific type of diagnosis.
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| * Reviewing both scores can help determine whether certain nursing activities can be redirected or standardized in certain types of critically ill patients without affecting patient mortality or morbidity.
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| ==Scoring==
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| * Each of the most common ICU nursing activities is weighted from 1 to 4 point. More points indicate that greater nursing management is required.
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| * A high daily TISS score indicates an increase in nursing workload.
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| Also see:
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| *[[TISS mutually exclusive items]]
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| *[[TISS 2 hour rule]]
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| *[[TISS 48 hour rule]]
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| *[[TISS Neurological]]
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| *[[TISS Cardiovascular]]
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| *[[TISS Blood Products]]
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| *[[TISS Respiratory]]
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| *[[TISS Gastrointestinal]]
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| *[[TISS Genitourinary]]
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| *[[TISS Fluid Lytes bloodsample]]
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| *[[TISS Meds_IVs]]
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| *[[TISS General Care]]
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| *[[TISS Procedures Interventions]]
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| *[[TISS Legacy]]
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| == Discussion ==
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| *As [[:User:LKolesar|LKolesar]] points out, there is variation in how the TISS is collected in different centers. Is this something we should look at? [[User:Ttenbergen|Ttenbergen]] 00:04, 27 May 2008 (CDT)
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| [[Category:TISS]]
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