Task Team Meeting - Rolling Agenda and Minutes 2023
List of items to bring to task meeting
Add to this by adding the following to the article where the problem is documented:
{{DiscussTask | explanation}}Toggle columns: Last modified
| wiki page | question | Last modified |
|---|---|---|
| wiki page | question | Last modified |
| Cardiac arrest | Could we please have some clarification around using this code and when to check as primary?
| 2024-05-02 4:54:06 PM |
| Gangrene, NOS | can we use this code for necrosis or necrotic wounds? Lisa Kaita 11:57, 2024 April 17 (CDT)
| 2024-05-02 4:03:55 PM |
| Kidney, acute renal failure, postprocedural | could we please have some guidelines around when to use this code? how long after the procedure can we use this code? Lisa Kaita 11:37, 2024 May 2 (CDT) | 2024-05-02 4:37:08 PM |
| 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)
| 2019-03-09 9:24:42 PM |
| Severe 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)
| 2019-10-31 3:04:29 PM |
| Severe 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)
| 2022-02-17 10:56:05 PM |
| Shock, septic | 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)
| 2019-01-10 7:32:04 PM |
| STB ICUs VAP Rate, CLIBSI Rate Summary |
| 2024-04-08 4:27:53 PM |
| Stroke, NOS | we need clarification on when to use this code, eg. if there is a history where it says a history of stroke, or if on CT they comment remote lacunar infarcts? Lisa Kaita 12:01, 2024 April 17 (CDT) | 2024-04-17 5:01:53 PM |
| Template: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)
| 2024-04-25 12:57:46 AM |
Also see Task Team Meeting - Rolling Agenda and Minutes 2022
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ICU Database Task Group Meeting – Jan 11, 2023
- Present: Allan, Gail, Julie, Michelle, Mindy, Stephanie, Tina, Val, Pagasa, Mailah
- Minutes prepared by: AG
- Action items in BOLD
1. Transition to Database Server#Shared Health - Nothing new about either of the possible alternative options for hosting the database.
2. Controlling Dx Type for ICD10 codes - Regarding the task to improve data collector diagnosis assignment into the 3 "bins" of admission diagnosis, acquired diagnosis and comorbid diagnosis.
- Lisa indicated that for a first pass on this, she will distribute all the codes among all the collectors.
3. New item: Clarification of Pulmonary emphysema or bullous disease without COPD. Allan modified this Wiki entry to make it clearer.
4. New item: Regarding the code Sudden cardiac death (and died)
- After discussion we recognized that we have no need to specifically code patients' cause of death. We know it occurred by virtue of the Dispo field. Thus we agreed to remove this item from the list of ICD-10 codes, and to have Julie go into all records where it has been recorded and remove it. Allan modified the Wiki page also.
5. New question: It was noticed that an error occurs if a diagnosis of Influenza is recorded (which is an implied bug) and one attempts to combine it with a Nosocomial problem code.
- Tina confirmed the error using Influenza pneumonia and Nosocomial infection, NOS; didn't make any changes because I believe in this scenario the code Influenza virus NOS -- should almost never be used should probably be used to satisfy the requirement for a pathogen. Alternative would be to add all or some influenza codes to Category:Double duty pathogen.
6. Followup item from long ago: Seeking to get ABGs at Grace Hospital to be included in the Lab Info System (LIS).
- The last time we tried for this, in 2015, the resp therapy group at Grace was not interested in being required to manually logging this information into LIS, as IS done at HSC and St. B.
- We think they may be more open to it now -- so today Allan emailed Heather Smith, asking her to raise it with them.
- If they indeed are willing, Allan will talk to Dr. Soroko about getting it implemented.
7. New item: Uncertainty of when/how to use Complication of labor and delivery, NOS
- As our database is only for adult patients, this code should not be used to indicate such a complication for a newborn. For example: During hospitalization, such a complication occurs, but it only affects the newborn and has no medical consequence for the mother --- do NOT use this code.
- Of course, for some such complications when the newborn with a complication becomes an adult, that problem persists, e.g. Fetal Alcohol Syndrome. If that adult is then admitted, it is the specific problem (such as Fetal Alcohol Syndrome) that should be listed as a Comorbid Diagnoses -- again you would NOT code Complication of labor and delivery, NOS.
- The only time Complication of labor and delivery, NOS would be coded is when the mother herself incurs a complication of labor or delivery, AND there is not a more specific code for the complication she suffered.
- Allan modified this Wiki page for clarity.
8. New item: Clarification of when/how to use Oral mucositis
- This code is for widespread or diffuse oral mucus membrane involvement -- as often occurs after some chemotherapies, and a few other causes.
- Do not use it for localized oral lesions or involvement in just a part of the oral mucosa. In such a case code the specific cause if known, and otherwise use Disorder of oral mucosa (mouth, lips, tongue), NOS.
- Allan has updated the Wiki to reflect this.
2022...
Also see Task Team Meeting - Rolling Agenda and Minutes 2022