Not Given Data for August 2009

Not Given Data for August 2009

Total not given - 51,584
Total schedules for August – 362,420

Percentage of Not given = 14%

Table 1: Filtered – Data filtered from DEPT_ID, PRIMARY_NAME, GIVEN_TEXT & GIVER_TITLE

DEPT_ID / PRIMARY_NAME / NOT GIVEN_TEXT / GIVER_TITLE
RADR
EMER
ED/P
TRNG
TOBS / ALL RESP. MEDS / Per parameter
No Insulin required
See alt route
See procdr/Code rec / RESP

Filtered not given data: 16,367
Not given data left to analyze: 35,217
Total not given data: 51,584

Table 2: Unfiltered data

ADULT / PEDS / TOTAL
UNFILTERED DATA / 29580 / 5637 / 35, 217
84% / 16% / 100%

Table 3: NOT GIVEN TEXT

Not Given text / Adult / Peds / Total
Acknowledged / 4345 / 513 / 4858
Already given / 5854 / 1897 / 7751
Given by MD / 147 / 19 / 166
Given Off Unit / 1158 / 243 / 1401
Med Discontinued / 1036 / 358 / 1394
Med not available / 287 / 58 / 345
Med/Patch Removed / 29 / 4 / 33
Nauseated/Vomiting / 358 / 78 / 436
No IV access / 235 / 58 / 293
Not on Unit / 2344 / 133 / 2477
NPO / 1038 / 216 / 1254
Other-annotate / 2878 / 563 / 3441
Per MD order / 1059 / 217 / 1276
Pt/fam refused / 6505 / 460 / 6965
REASON NOT GIVEN / 1089 / 283 / 1372
Schedule Change / 470 / 383 / 853
Sedated / 133 / 11 / 144
See MAR / 125 / 53 / 178
Sleeping / 233 / 83 / 316
Unable to swallow / 257 / 7 / 264
29580 / 5637 / 35217

Table 4: Not given data by dept.

ADULTS
DEPT / Not Given
4S / GYN SURGERY / 12
10SD / DIALYSIS / 48
4NPL / LABOR DELIVERY / 261
S44 / GENERAL SURGERY RW / 494
6S / CARDIOVASCULAR / 728
10S / RENAL / 831
S34 / GEN MEDICINE / 938
S74 / GERIATRIC / GEN MED UNIT / 996
9S / GEN SURG / 1016
S54 / ORTHOPAEDICS / 1031
S64 / ORTHOPAEDICS / 1032
4EST / ANTEPARTUM/PP/GYNONC / 1225
8S / GEN MED / 1270
6N / NEUROSCIENCE / 1468
3N/C / SICU / 1495
7SMI / CARDIO SHORT STAY / 1505
5S / CARDIO PROGRESSIVE CARE / 1511
9NSM / SURG STEPDOWN / 1522
7N / CARDIOVASCULAR UNIT / 1588
11S / BURN ACUTE/ICU / 1611
11NM / ADULT MYELO / 1683
8N / GEN MED / 1824
5N / CARD VASCULAR ICU / 2327
10N / TRAUMA / 3164
Grand / 29580
PEDS
DEPT / Not Given
3A / PEDS SHORT STAY / 156
7B / TODDLER MEDICINE / 296
7C / SCHOOL AGE MEDICINE / 302
8C / ADOLESCENT MEDICINE / 387
7A / INFANT MEDICINE / 396
6A / MYELOSUPPRESSION / 399
8A / YOUNG SURGERY / 444
6B / HEM/ONCOLOGY / 467
8B / ADOLESCENT SURGERY / 491
6C / ACUTE CARE / 516
5PCU / PED CRIT CARE UNIT / 1783
Grand / 5637
VUMC
DEPT / Not Given
4S / GYN SURGERY / 12
10SD / DIALYSIS / 48
3A / PEDS SHORT STAY / 156
4NPL / LABOR DELIVERY / 261
7B / TODDLER MEDICINE / 296
7C / SCHOOL AGE MEDICINE / 302
8C / ADOLESCENT MEDICINE / 387
7A / INFANT MEDICINE / 396
6A / MYELOSUPPRESSION / 399
8A / YOUNG SURGERY / 444
6B / HEM/ONCOLOGY / 467
8B / ADOLESCENT SURGERY / 491
S44 / GENERAL SURGERY RW / 494
6C / ACUTE CARE / 516
6S / CARDIOVASCULAR / 728
10S / RENAL / 831
S34 / GEN MEDICINE / 938
S74 / GERIATRIC / GEN MED UNIT / 996
9S / GEN SURG / 1016
S54 / ORTHOPAEDICS / 1031
S64 / ORTHOPAEDICS / 1032
4EST / ANTEPARTUM/PP/GYNONC / 1225
8S / GEN MED UNIT / 1270
6N / NEUROSCIENCE / 1468
3N/C / SICU / 1495
7SMI / CARDIO SHORT STAY / 1505
5S / CARDIO PROGRESSIVE CARE / 1511
9NSM / SURG STEPDOWN / 1522
7N / CARDIOVASCULAR / 1588
11S / BURN ACUTE/ICU / 1611
11NM / ADULT MYELO / 1683
5PCU / PED CRIT CARE UNIT / 1783
8N / GEN MED / 1824
5N / CARD VASCULAR ICU / 2327
10N / TRAUMA / 3164

Table 5: Top 5Pediatricdepartments for Not Given Data

Given text / 5PCU / 6C / 8B / 6B / 8A
Acknowledged / 195 / 39 / 18 / 56 / 80
Already given / 573 / 169 / 143 / 145 / 121
Given by MD / 6 / 1 / 3 / 3 / 3
Given Off Unit / 39 / 7 / 60 / 12 / 31
Med Discontinued / 173 / 30 / 14 / 16 / 11
Med not available / 16 / 5 / 9 / 2 / 3
Med/Patch Removed / 1 / 0 / 0 / 0 / 0
Nauseated/Vomiting / 13 / 0 / 13 / 1 / 3
No IV access / 6 / 13 / 17 / 0 / 2
Not on Unit / 50 / 15 / 23 / 2 / 7
NPO / 108 / 10 / 15 / 6 / 7
Other-annotate / 177 / 82 / 47 / 49 / 67
Per MD order / 125 / 36 / 5 / 9 / 6
Pt/fam refused / 44 / 18 / 41 / 125 / 28
REASON NOT GIVEN / 113 / 38 / 22 / 7 / 24
Schedule Change / 114 / 47 / 41 / 24 / 28
Sedated / 8 / 0 / 0 / 1 / 0
See MAR / 15 / 6 / 7 / 3 / 0
Sleeping / 5 / 0 / 10 / 6 / 22
Unable to swallow / 2 / 0 / 3 / 0 / 1
1783 / 516 / 491 / 467 / 444

Table 6: Top 5 Adult dept. for Not Given data

Given text / 10N / 5N / 8N / 11NM / 11S
Acknowledged / 1165 / 622 / 130 / 178 / 355
Already given / 735 / 526 / 327 / 328 / 554
Given by MD / 10 / 11 / 13 / 7 / 3
Given Off Unit / 31 / 62 / 64 / 5 / 21
Med Discontinued / 71 / 83 / 42 / 62 / 45
Med not available / 54 / 14 / 8 / 9 / 8
Med/Patch Removed / 3 / 0 / 5 / 3 / 1
Nauseated/Vomiting / 3 / 25 / 30 / 15 / 9
No IV access / 10 / 0 / 15 / 7 / 3
Not on Unit / 327 / 265 / 75 / 9 / 134
NPO / 204 / 74 / 59 / 8 / 24
Other-annotate / 192 / 233 / 243 / 64 / 119
Per MD order / 27 / 170 / 41 / 58 / 63
Pt/fam refused / 107 / 116 / 532 / 807 / 138
REASON NOT GIVEN / 168 / 74 / 64 / 41 / 49
Schedule Change / 27 / 23 / 30 / 36 / 38
Sedated / 6 / 2 / 5 / 24 / 4
See MAR / 2 / 3 / 49 / 4 / 3
Sleeping / 9 / 2 / 57 / 8 / 24
Unable to swallow / 13 / 22 / 35 / 10 / 16
3164 / 2327 / 1824 / 1683 / 1611

Pt/fam refused (6965)

Med / Count
DOCUSATE SODIUM / 637
SENNA/DOCUSATE / 533
MAGNESIUM HYDROXIDE (M.O.M.) / 503
HEPARIN (PORK) / 473
POLYETHYLENE MIRALAX (GLYCOLAX) / 424
BISACODYL SUPPOSITORY / 378
INSULIN HUMAN REGULAR - SLIDING SCALE / 194
FAMOTIDINE / 102
ENOXAPARIN (LOW MW HEPARIN) / 91
TETANUS, DIPHTHERIA (ACEL), PERTUSSIS / 87
NYSTATIN ORAL SUSPENSION / 81
INSULIN ASPART SLIDING SCALE / 74
SENNA / 68
ONDANSETRON / 66
SENNA SYRUP / 61
METOCLOPRAMIDE / 58
SALINE NASAL SPRAY / 54
BACITRACIN ZINC OINTMENT, USP / 51
NYSTATIN TOPICAL POWDER / 50
ARTIFICIAL TEARS (HYPROMELLOSE) / 47
ESOMEPRAZOLE MAGNESIUM D.R. / 43
FLUTICASONE NASAL SPRAY / 43
METOPROLOL / 42
LACTOBACILLUS ACIDOPH & BULGAR / 39
PROVENTIL HFA INHALER / 37
INSULIN ASPART / 35

Annotation for
Heparin refusal: Ambulates, Had enough, Body is sore, Med discontinued, patient being discharged or discharged
Insulin sliding scale refusal: Patient refused, BG within parameter, NPO

Annotation – 907 out of 6965

Acknowledged (4858)

Reason
Diarrhea / 74
Pt in OR / 71
Held for BP or BS / 62
Forgot to scan or did not scan / 36
Given @ *** time / 32
Already given / given in Hydro / 26
Duplicate order / 22
Dialysis / 17

Annotation – 975 out of 4858

Other annotate (3441)

Reason
Diarrhea / 400
Held for BP or BS / 270
Held per MD or MD notified / 140
Duplicate order / 121
Forgot to scan or did not scan / 38
Pt in OR / 35
Dialysis / 18

Annotation – 3042 out of 3441
RN did not annotate 399 times.

Already given (7751)
Reasons annotated for already given:

• Administered by RN in ED
• admin rx downtime
• already given
• At various times
• barcode will not scan
• by dad, mum, father, night shift nurse, RT, day shift nurse
• computer died during med administration
• duplicate order
• for procedure
• see MAR

Annotation – 2259 out of 7751