|5.Management of the PLAISIR© data base
an institution starts to use PLAISIR©
system, it evaluates all its
clients. This evaluation must be
obtained in the shortest time possible in order to obtain a picture of the
institution's clients at a precise moment in time.
However the number of nurse-evaluators is limited and given that an
evaluator can assess 5 to 10 clients per day, obviously it is impossible to
evaluate all the clients of an institution on the same day.
Hence, the period of evaluation of an institution varies from a few
days to a few weeks. This does
not cause any real problems; as the status of the clients in institutions
using the PLAISIR©
system is relatively stable, one can still consider that one
has a snapshot of the needs of the institution's clients.
At the end of the evaluation process, one will date, the period of
observation in terms of the month and the year for which the
majority, if not all, of the evaluations were performed: for example: 06 - 2004. The
same applies for the updating of the data base.
a first image of the clients has been obtained, the institution updates it at
its convenience. Different
considerations may be taken into account when determining this frequency.
It is more costly to update the data base frequently; however the
institution that intensively uses the information of PLAISIR©
at a clinical or
administrative level will want an updated image of its clients at all times.
There is no general rule regarding the frequency of updating.
In Quebec, the choice of a frequency is most often agreed upon by all
the institutions of a region. The
minimal frequency of updating observed is once a year, the maximum being four
times a year, the exception being transition units
(mid stay care units) which may update their PLAISIR©
data base monthly.
updating, one will not evaluate all the clients, but only those whose status
has changed or who have been admitted since the last updating of the data
base. One also takes advantage of
the updating to remove from the current data base all the closed files
(transferred clients, deaths).
The initial make-up of the data base and its subsequent updating obey strict rules in order to protect the confidentiality and integrity of the data.