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| ==Purpose== | | {{LegacyContent |
| Kendiss Olafson & the QA team are monitoring [[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infections]] and [[VAP]]s in the ICUs.
| | |explanation=was replaced by [[Central Line Related Blood stream Infection (CLR-BSI)]] / [[VAP]] as part of move to [[ICD10]] |
| | |successor= |
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| == Specs ==
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| ==='''ICU'''===
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| ==== Dates ====
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| * Start Date: '''Saturday August 22, 2009'''
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| * End Date: NONE - Continued project with the [[CCVSM]] cross Canada Collaborative--[[User:TOstryzniuk|TOstryzniuk]] 16:53, 4 October 2010 (CDT)
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| * Units Collecting: '''all ICU's''' in the Region.
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| ==='''Medicine''' wards===
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| * part B only - Central Line Infection start date
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| ==== Dates ====
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| * Start Date: '''Monday October 19, 2009'''
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| * End Date: NONE. Ongoing project for [[CCVSM]] cross Canada Collaborative.--[[User:TOstryzniuk|TOstryzniuk]] 16:51, 4 October 2010 (CDT)
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| * Units Collecting: Medicine wards: HSC, STB, VIC, GRA
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| ==Data Collection Method==
| | This article has been split into the following two to clear up instructions: |
| === A. [[VAP]]===
| | * [[QA Infection CLI]] |
| If an ICU patient has a '''Complication''' of '''[[VAP]]''', the following entry must be made in the L_TmpV2 file:
| | * [[QA Infection VAP]] |
| * Project: '''QAInf''' | |
| * Item: '''[[VAP]] Infection''' | |
| * Infx Dt: Date of infection (no time) is the '''date POSITIVE SPUTUM CULTURE''' was '''sent to micro lab'''.
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| * if no positive sputum culture, than not a VAP.
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| ===B. [[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infection]]===
| | Leaving info about the cross-checks here because they are done together. |
| #If a patient develops a'''Complication''' of '''[[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infection]]''' while in your unit, the following entry must be made in the L_TmpV2 file:
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| #*Project: '''QAInf'''
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| #*Item: '''[[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infection]]'''
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| #*DATE of infection (no time) is the date '''positive''' blood culture was '''sent''' to micro lab.
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| #*if '''no''' positive culture than not a CLR-BSI
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| #Patient already has a CLR-BSI present on admission to your unit:
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| #*in the admitting diagnosis field, enter Central Line Infection.
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| #*do not enter the DATE of positive culture in the Temp Studies field.
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| #*if the patient is from another ICU in the city, email the collector at that site to check if CLR_BSI was captured as a "complication" at that site.
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| '''The site where the CLR-BSI had occurred is the site that must get the credit for where infection occurred.'''
| | {{Data Integrity Check List}} |
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| ==Line Count Form used by ICU's== | | == Related articles == |
| | {{Related Articles}} |
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| *Form is completed daily by CRN (charge nurse) or manager and FAXED to the Database Research office once per week (every Monday with previous weeks data).
| | [[Category: QAInfection]] |
| *[[Data Processor]] makes a phone call to specific contact people in each ICU every week if the form is not submitted by Wednesday each week.
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| *[[Data Processor]] manually enters values from this form into an Access database on our office share drive X.
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| **The same form is used by ICU charge nurses for the QA [[ETT unschedule extubations]] project and for Central Line Infection Rate counting and [http://ltc.umanitoba.ca/wikis/ccmdb/index.php/QA_Infection_Audit#B._Central_Line_Related_Blood_stream_infection_.28CLR-BSI.29 QAInf ITEM B above.] & article [[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infection]]
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| **[http://ltc.umanitoba.ca/wikis/ccmdb/images/4/49/HSC_NEW_CentralLine_ETTUBE_Data_Collection_Form.pdf HSC Form]
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| **[http://ltc.umanitoba.ca/wikis/ccmdb/images/6/6a/IICU-NEW_CentralLine_ETTUBE_Data_Collection_Form.pdf HSC-IICU Form]
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| **[http://ltc.umanitoba.ca/wikis/ccmdb/images/6/69/NEW_CentralLine_ETTUBE_Data_Collection_Form.pdf All other ICU's form]
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| == Consistency Checks ==
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| [[Tmp Checker]] will check for the following:
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| === Dx but no tmp ===
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| If '''Complication Diagnosis''' is one of:
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| *[[Central Line Related Blood stream Infection (CLR-BSI) | Central line infection]] (code 86)
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| *[[VAP]] (code 39)
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| then
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| * L_TmpV2 entry with project "ICU Infection Audit" with date needed
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| === Tmp but no dx ===
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| If "QAInf" entry is present in [[L_TmpV2]] then
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| * program must be "CC"
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| * the '''corresponding''' diagnosis must exist
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| == Send mode ==
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| Data for '''all''' patients meeting requirements for this study, including patients you are not sending this batch, will be sent every time complete patients are sent.
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| ==Discussion==
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| {{Discussion}}
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| *Tina - There is a problem with CCMDB.mdb in that it will allows a collector to select in TMP, an ITEM that is not related to the PROJECT selected. On the PDA you cannot do this. For example, in TMPV2 on the Regional server, serial 12857 HSC_SICU had Project VAP selected but ITEM was QASeptic and it should have been QAInf.
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| *we are also finding the follow data laundry duties:
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| **EXAMPLES:
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| *VAP date in tmpV2 but no DX in complication
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| *DX of VAP in complication codes but no date in TMPV2
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| *VAP is in admit DX (to ICU) which is possible when transferred from another ICU, however a start Date is included in tmpV2. Not needed.
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| *VAP is recorded as a complication in a specific unit, yet in tmpV2 the date when positive culture sent is before that ICU admission or after that ICU admission.
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| *Not sure if you can easily add any of these checks in ACCESS to reduce laundry duties back here at the ranch.--[[User:TOstryzniuk|TOstryzniuk]] 15:57, 25 March 2010 (CDT)
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| [[Category: Special_Short_Term_Projects]] | |
| [[Category: L_TmpV2 Data]] | | [[Category: L_TmpV2 Data]] |
| [[Category: All Projects]]
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| [[Category: QA]] | | [[Category: QA]] |
| | [[Category: VAP - Ventilator Associated Pneumonia]] |
| | }} |