TISS quality checks
Important Quality Checks for TISS to overcome some of the TISS28 data and collection problems. Data collectors are responsible for these.
Consistency Checks involving ETT present, Intubated, Extubated planned or unplanned, Ventilated any time /2300 HR, Trach present, Central line, CPAP/BiPAP
TISS cross checks
|Query NDC CLI vs DX but no TISS17 CentralLine||Checks for patients who have a Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI) but no T17 - Central venous catheter (TISS Item).||ready to implement||CCMDB.accdb|
|Query NDC Dialysis TISS CCI||Critical care patients who have CCI entries for a type of dialysis must have a TISS28 entry for the same type of dialysis as well, and vice versa.||needs review||CCMDB.accdb|
|Query NDC Dxs vs TISS Dialysis||If there is a TISS28 entry for Hemodialysis there should be a corresponding Dx.||needs review||CCMDB.accdb|
|Query NDC TISS Extubation only on TISS Intubated days||Any marked TISS Item in T28 - Planned extubation (TISS Item) or in T29 - Unplanned extubation (TISS Item) must have the T22 - ETT Present (TISS Item) on the same date. But also intubation...||ready to implement||CCMDB.accdb|
|Query NDC TISS Spontaneous vs ETT Trach||A patient with T19 - Spontaneous breathing via ETT or Trach (TISS Item)(T19) must also have (T22 - ETT Present (TISS Item)(T22) or T23 - Trach Tube Present (TISS Item)(T23))||ready to implement||CCMDB.accdb|
|Query NDC TISS vs pharmacy||Compare Vasoactive drug IV continuous-single (TISS Item)/T14 - Vasoactive drug IV continuous-multiple simultaneous (TISS Item) against Pharmacy entries for vasoactive drugs.||ready to implement||CCMDB.accdb|
|Query NDC cardioversion dx vs TISS||If pt has Acquired Procedure Cardioversion (EXCLUDE defibrillation-we are not tracking), then the TISS28 item T41 - Cardioversion (TISS Item) (T41) must be marked.||ready to implement||CCMDB.accdb|
|Query TISS Errors CAM positive vs Dx||Checks that each T9 - CAM positive (TISS Item) goes with an ICD10 code from Category:Delirium||ready to implement||CCMDB.accdb|
|Query TISS Errors ETT consistent||Checks that ETTs are only removed if previously present and only added when not present.||needs review||CCMDB.accdb|
|Query TISS Errors NrTISSDays NE LOS||Length of stay (LOS) for all ICU patients must be consistent with their number of TISS days, incl no TISS days at all (ie missing forms).||needs review||CCMDB.accdb|
|Query TISS Errors Vent vs mechanism||Any marked TISS Item T18 - Invasive Mechanical Ventilation (TISS Item) has to have (T22 - ETT Present (TISS Item) or T23 - Trach Tube Present (TISS Item)) for the same date.||ready to implement||CCMDB.accdb|
|Query TISS Errors missing days||There are no TISS28 entries for a day that should have at least one based on Accept DtTm and Dispo DtTm||needs review||TISS28.accdb|
|Query check CCI TISS NrDays GT LOS||There are more TISS Item Px_Dates than there are days between the first Service tmp entry and Dispo DtTm||implemented||CCMDB.accdb|
|Query check CCI TISS NrDays LT LOS||There are more TISS Item Px_Dates than there are days between the first Service tmp entry and Dispo DtTm||implemented||CCMDB.accdb|
|Query check CCI TISS if no then none||If No TISS Item (TISS Item) in CCI Picklist there must be no other entry from TISS Item List in CCI Picklist, and vice versa||ready to implement||CCMDB.accdb|
|Query check ICD10 trach dxs consistent||Tracheostomy related CCI and ICD10 codes must be consistent with each other.||needs review||CCMDB.accdb|
Legacy ContentThis page contains Legacy Content.
- Explanation: These are cross checks that were done on paper forms; could probably be deleted outright, no longer relevant.
Click Expand to show legacy content.
Clear, dark markings
Staff must use dark pencil or black pen on the form and fill in bubble completely. Light pencil marks, colored ink, dot in a bubble or half filled bubbles do not scan well.
Top of every page
Collector must write: the serial, page number, unit, first date on form AND addressograph on front of EACH PAGE
Numbers in the date boxes must be consecutive
Always at least one circle marked
There should be at least one circle filled-up on each date.
- at least one TISS item
- NO TISS28 items applicable to TODAY line 1 on form
If a mistake, cross out (X) the erroneous circle(s), shade the correct circle(s) and put an X on the square box at the end of the row where the correction was done.
If all entries in a row are correct, do not put any mark on the square box at the end of the row.
Keep the form number clean
The bottom right corner must be kept clean and unmarked (ie. no lines or characters overwriting the number). The number is by Teleform (the form scanning tool) to identify the form and if it is unreadable, the form will not import right.