STANDARD DATA DICTIONARY #217 -- NURQ QI SUMMARY FILE                                                             3/24/25    PAGE 1
STORED IN ^NURQ(217,  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                        (VERSION 4.0)   

DATA          NAME                  GLOBAL        DATA
ELEMENT       TITLE                 LOCATION      TYPE
-----------------------------------------------------------------------------------------------------------------------------------
The QI Summary file contains data relating to surveys, such as survey name, related indicators (questions) from the survey, key
functions, data collection information, and possible actions to be taken.  These records are used for tracking and reporting any
indicators, including chart audits and discharge audits.  


              DD ACCESS: @
              RD ACCESS: 
              WR ACCESS: @
             DEL ACCESS: @
           LAYGO ACCESS: @

CROSS
REFERENCED BY: SURVEY(B), PERFORMANCE MEASURE(F)



217,.01       SURVEY                 0;1 POINTER TO SURVEY FILE (#748) (Required)

              INPUT TRANSFORM:  S DINUM=X Q
              LAST EDITED:      MAR 14, 1996 
              DESCRIPTION:
                                This field contains the survey for which this QI Summary pertains.  

              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

              CROSS-REFERENCE:  217^B 
                                1)= S ^NURQ(217,"B",$E(X,1,30),DA)=""
                                2)= K ^NURQ(217,"B",$E(X,1,30),DA)
                                This is the main cross-reference on the Date field.  



217,1         ENTERED BY             0;3 POINTER TO NEW PERSON FILE (#200)

              LAST EDITED:      AUG 11, 1992 
              DESCRIPTION:
                                Name of person or group who entered this data.  


217,2         SERVICE                0;4 POINTER TO SERVICE/SECTION FILE (#49)

              LAST EDITED:      AUG 11, 1992 
              DESCRIPTION:
                                Service associated with this QI Summary.  


217,3         DISCIPLINES            1;1 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>80!($L(X)<3) X
              LAST EDITED:      JUL 28, 1995 
              HELP-PROMPT:      Answer must be 3-80 characters in length. 
              DESCRIPTION:
                                Person(s) or units responsible for this report.  


217,4         LOCATION               2;0 POINTER Multiple #217.04

              DESCRIPTION:
                                This field contains the hospital locations associated with this nursing survey.  


217.04,.01      LOCATION               0;1 POINTER TO HOSPITAL LOCATION FILE (#44)

                LAST EDITED:      NOV 12, 1992 
                DESCRIPTION:
                                  Hospital location associated with this survey.  

                CROSS-REFERENCE:  217.04^B 
                                  1)= S ^NURQ(217,DA(1),2,"B",$E(X,1,30),DA)=""
                                  2)= K ^NURQ(217,DA(1),2,"B",$E(X,1,30),DA)
                                  This is the main cross-reference on the Location field.  



217.04,2        IMPORTANT FUNCTIONS    2;0 Multiple #217.42

                LAST EDITED:      JUL 18, 1995 
                DESCRIPTION:      High priority functions, processes, treatments, and activities that have the greatest impact on
                                  patient care, occur most frequently, affect the largest number of patients, produce risk or
                                  problems.  


217.42,.01        IMPORTANT FUNCTIONS    0;1 FREE TEXT (Multiply asked)

                  INPUT TRANSFORM:  K:$L(X)>100!($L(X)<3) X
                  LAST EDITED:      JUL 18, 1995 
                  HELP-PROMPT:      Answer must be 3-100 characters in length. 
                  DESCRIPTION:      High priority functions, processes, treatments, and activities that have the greatest impact on
                                    patient care, occur most frequently, affect the largest number of patients, produce risk
                                    problems.  

                  CROSS-REFERENCE:  217.42^B 
                                    1)= S ^NURQ(217,DA(2),2,DA(1),2,"B",$E(X,1,30),DA)=""
                                    2)= K ^NURQ(217,DA(2),2,DA(1),2,"B",$E(X,1,30),DA)
                                    This is the cross-reference on the Key Functions field.  



217.42,1          STANDARDS OF CARE      1;0 POINTER Multiple #217.421

                  DESCRIPTION:      Patient expectations describing the kinds of care the patient can expect to receive from
                                    nurses.  


217.421,.01         STANDARDS OF CARE      0;1 POINTER TO NURQ STANDARDS OF CARE/PRACTICE FILE (#217.1)

                    INPUT TRANSFORM:  S DIC("S")="I $D(^NURQ(217.1,""C"",""c"",+Y))" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
                    LAST EDITED:      MAY 18, 1993 
                    DESCRIPTION:      Patient expectations describing the kinds of care the patient can expect to receive from
                                      nurses.  

                    SCREEN:           S DIC("S")="I $D(^NURQ(217.1,""C"",""c"",+Y))"
                    EXPLANATION:      RETURNS ONLY STANDARDS OF CARE
                    CROSS-REFERENCE:  217.421^B 
                                      1)= S ^NURQ(217,DA(3),2,DA(2),2,DA(1),1,"B",$E(X,1,30),DA)=""
                                      2)= K ^NURQ(217,DA(3),2,DA(2),2,DA(1),1,"B",$E(X,1,30),DA)
                                      This is the cross-reference on the Standards of Care field.  





217.42,2          STANDARDS OF PRACTICE    2;0 POINTER Multiple #217.422

                    DESCRIPTION:
                                      Nurses expectations -- what the nurse does to meet the patient expectations.  


217.422,.01         STANDARDS OF PRACTICE    0;1 POINTER TO NURQ STANDARDS OF CARE/PRACTICE FILE (#217.1)

                      INPUT TRANSFORM:  S DIC("S")="I $D(^NURQ(217.1,""C"",""p"",+Y))" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
                      LAST EDITED:      MAY 18, 1993 
                      DESCRIPTION:
                                        Nurses expectations -- what the nurse does to meet the patient expectations.  

                      SCREEN:           S DIC("S")="I $D(^NURQ(217.1,""C"",""p"",+Y))"
                      EXPLANATION:      RETURNS ONLY STANDARDS OF PRACTICE
                      CROSS-REFERENCE:  217.422^B 
                                        1)= S ^NURQ(217,DA(3),2,DA(2),2,DA(1),2,"B",$E(X,1,30),DA)=""
                                        2)= K ^NURQ(217,DA(3),2,DA(2),2,DA(1),2,"B",$E(X,1,30),DA)
                                        This is the cross-reference on the Standards of Practice field.  







217.04,3        PERFORMANCE MEASURE          3;0 Multiple #217.43

                      LAST EDITED:      NOV 03, 1995 
                      DESCRIPTION:      A quantitative measure (tool) that can be used to assess and improve the performance of key
                                        functions affecting outcomes.  


217.43,.01        PERFORMANCE MEASURE          0;1 FREE TEXT (Multiply asked)

                        INPUT TRANSFORM:  K:X[""""!($A(X)=45) X I $D(X) K:X'?1"QA(748.25,"1N.N1",1,"1N.N1"," X
                        OUTPUT TRANSFORM: N NURQY S NURQY=Y,Y=$$GET1^DIQ(748.26,$P(Y,",",4)_","_$P(Y,",",2)_",",.015) S:Y="" Y=NURQ
                                          Y
                        LAST EDITED:      APR 25, 1996 
                        HELP-PROMPT:      This is a question for this particular survey defined in the QA QUESTIONS file.  The data 
                                          in this field is not editable, but it can be deleted. 
                        DESCRIPTION:      A quantitative measure (tool) that can be used to assess and improve the performance of
                                          key functions affecting outcomes.  

                        NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

                        CROSS-REFERENCE:  217.43^B 
                                          1)= S ^NURQ(217,DA(2),2,DA(1),3,"B",$E(X,1,30),DA)=""
                                          2)= K ^NURQ(217,DA(2),2,DA(1),3,"B",$E(X,1,30),DA)
                                          This is the main cross-reference on the Related Indicators field.  


                        CROSS-REFERENCE:  217^F^MUMPS 
                                          1)= S ^NURQ(217,DA(2),2,DA(1),3,"F",+$P(X,",",4),DA)=""
                                          2)= K ^NURQ(217,DA(2),2,DA(1),3,"F",+$P(X,",",4),DA)
                                          This xref returns the entry in the Questions (.02) multiple of the QA Questions (748.25)
                                          file.  



217.43,1          RATIONALE                    1;0 POINTER Multiple #217.431

                        DESCRIPTION:      High Risk (causes great risk to patient); High Volume (occurs frequently); Problem Prone
                                          (causes problems for patients and staff).  


217.431,.01         RATIONALE                    0;1 POINTER TO NURQ RATIONALE FILE (#217.2) (Multiply asked)

                          LAST EDITED:      MAY 03, 1996 
                          DESCRIPTION:      High Risk (causes great risk to patient); High Volume (occurs frequently); Problem
                                            Prone (causes problems for patients and staff).  

                          CROSS-REFERENCE:  217.431^B 
                                            1)= S ^NURQ(217,DA(3),2,DA(2),3,DA(1),1,"B",$E(X,1,30),DA)=""
                                            2)= K ^NURQ(217,DA(3),2,DA(2),3,DA(1),1,"B",$E(X,1,30),DA)
                                            This is the cross-reference on the Rationale field.  





217.43,5          TYPE OF INDICATOR              2;4 SET

                                            '1' FOR STRUCTURE; 
                                            '2' FOR PROCESS; 
                                            '3' FOR OUTCOME; 
                          LAST EDITED:      MAR 22, 1996 
                          DESCRIPTION:      Structure (an indicator that assesses the environment in which care occurs) ; Process
                                            (indicator that assesses an important and discrete activity that is carried out, either
                                            to directly care for the patient or to support patient care); Outcome (indicator that
                                            assess what happens or does not happen to a patient following a process).  


217.43,5.5        DEFINITION OF TERMS            12;0   WORD-PROCESSING #217.47

                          DESCRIPTION:
                                            Define any terms in indicator which may be unfamiliar.  


                            LAST EDITED:      NOV 20, 1992 
                            DESCRIPTION:
                                              Define any terms in indicator which may be unfamiliar.  




217.43,8          METHOD OF DETERMINING VARIANCE   3;1 FREE TEXT

                            INPUT TRANSFORM:  K:$L(X)>245!($L(X)<3) X
                            LAST EDITED:      AUG 11, 1992 
                            HELP-PROMPT:      Answer must be 3-245 characters in length. 
                            DESCRIPTION:
                                              Mechanism to determine when further evaluation must be triggered.  


217.43,9.5        CONCLUSIONS                      10;0   WORD-PROCESSING #217.44

                            DESCRIPTION:
                                              What caused the results?  Ask the question "why" five times.  


                              LAST EDITED:      OCT 27, 1992 
                              DESCRIPTION:
                                                What caused the results?  Ask the question "why" five times.  




217.43,10         RECOMMENDATION/ACTION              5;1 FREE TEXT

                              INPUT TRANSFORM:  K:$L(X)>245!($L(X)<3) X
                              LAST EDITED:      MAR 22, 1996 
                              HELP-PROMPT:      Answer must be 3-245 characters in length. 
                              DESCRIPTION:      This field will describe the recommendations and actions taken on this performance
                                                measure.  


217.43,11         PERSON/GROUP TAKING ACTION         6;1 FREE TEXT

                              INPUT TRANSFORM:  K:$L(X)>75!($L(X)<3) X
                              LAST EDITED:      MAR 26, 1996 
                              HELP-PROMPT:      Answer must be 3-75 characters in length. 
                              DESCRIPTION:
                                                Person(s) responsible for implementing the action.  


217.43,13         DATE IMPLEMENTED                   6;3 DATE

                              INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
                              LAST EDITED:      MAR 22, 1996 
                              DESCRIPTION:
                                                Date action is initiated.  


217.43,19         EFFECTIVENESS OF ACTION TAKEN      9;4 SET

                                                '1' FOR NO ACTIONS TAKEN; 
                                                '2' FOR ACTIONS TAKEN WERE EFFECTIVE IN IMPROVING PATIENT CARE; 
                                                '3' FOR ACTIONS TAKEN WERE PARTIALLY EFFECTIVE IN IMPROVING PATIENT CARE; 
                                                '4' FOR ACTIONS TAKEN WERE NOT EFFECTIVE IN IMPROVING PATIENT CARE; 
                              LAST EDITED:      AUG 31, 1992 
                              DESCRIPTION:
                                                Did you demonstrate improvement from the last reported results to these results? 






217,5         DATA SOURCE            5;0   WORD-PROCESSING #217.05


                LAST EDITED:      MAR 21, 1996 
                DESCRIPTION:      Source of information, for example patient records, patient/staff/visitor interview,
                                  questionnaire, laboratory report, progress notes, patient education records, etc.  




217,6         METHODOLOGY            6;0   WORD-PROCESSING #217.06


                LAST EDITED:      MAR 21, 1996 
                DESCRIPTION:
                                  How did you collect data (e.g., staff nurse reviewed patient records/observed patient).  




217,7.1       SAMPLE SIZE            7;1 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>1000)!(X<1)!(X?.E1"."1N.N) X
              LAST EDITED:      MAR 21, 1996 
              HELP-PROMPT:      Type a Number between 1 and 1000, 0 Decimal Digits 
              DESCRIPTION:
                                Number of observations.  


217,7.2       FREQUENCY              7;2 POINTER TO NURQ FREQUENCY FILE (#217.3)

              LAST EDITED:      MAR 21, 1996 
              HELP-PROMPT:      Select a reports frequency from the NURQ Frequency file. 
              DESCRIPTION:
                                How often do you report this information, i.e., monthly, quarterly, etc.  


217,7.3       MONITORING PERIOD      7;3 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>100!($L(X)<3) X
              LAST EDITED:      MAR 21, 1996 
              HELP-PROMPT:      Answer must be 3-100 characters in length. 
              DESCRIPTION:
                                Period of time data was collected, i.e., June , 1995; April-June 1996; etc.  


217,8         RECEIVER OF RESULTS    8;0 Multiple #217.08

              DESCRIPTION:
                                This information is being (or was) sent to which individual, committee, etc., on a specific date.  


217.08,.01      RECEIVER OF RESULTS    0;1 FREE TEXT (Multiply asked)

                INPUT TRANSFORM:  K:$L(X)>75!($L(X)<1) X
                LAST EDITED:      MAR 21, 1996 
                HELP-PROMPT:      Answer must be 1-75 characters in length. 
                DESCRIPTION:
                                  this information is being (or was) sent to which individual, committee, etc., on a specific date.  

                CROSS-REFERENCE:  217.08^B 
                                  1)= S ^NURQ(217,DA(1),8,"B",$E(X,1,30),DA)=""
                                  2)= K ^NURQ(217,DA(1),8,"B",$E(X,1,30),DA)


217.08,.02      DATE COMMUNICATED      0;2 DATE

                INPUT TRANSFORM:  S %DT="E" D ^%DT S X=Y K:Y<1 X
                LAST EDITED:      MAR 21, 1996 
                DESCRIPTION:
                                  What date was this information communicated.  




217,9         REFERENCES             9;0   WORD-PROCESSING #217.09


                LAST EDITED:      MAR 21, 1996 
                DESCRIPTION:
                                  The information from a review of literature supporting this indicator.  




217,11        OTHER                  11;0   WORD-PROCESSING #217.011


                LAST EDITED:      MAR 21, 1996 
                DESCRIPTION:      This field may be used to document any additional related information associated with this
                                  survey.  





      FILES POINTED TO                      FIELDS

HOSPITAL LOCATION (#44)           LOCATION:LOCATION (#.01)

NEW PERSON (#200)                 ENTERED BY (#1)

NURQ FREQUENCY (#217.3)           FREQUENCY (#7.2)

NURQ RATIONALE (#217.2)           RATIONALE:RATIONALE (#.01)

NURQ STANDARDS OF CARE/PRACTIC 
                   (#217.1)       STANDARDS OF CARE:STANDARDS OF CARE (#.01)
                                  STANDARDS OF PRACTICE:STANDARDS OF PRACTICE (#.01)

SERVICE/SECTION (#49)             SERVICE (#2)

SURVEY (#748)                     SURVEY (#.01)



INPUT TEMPLATE(S):

PRINT TEMPLATE(S):

SORT TEMPLATE(S):

FORM(S)/BLOCK(S):