|
|
| (17 intermediate revisions by 2 users not shown) |
| Line 1: |
Line 1: |
| ==Purpose==
| | {{LegacyContent |
| The [[:Category:Critical Care QI Team | Critical Care QI Team]] is monitoring [[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infections]] and [[VAP]]s in the ICUs. This project is in collaboration with [[:Category: CCVSM | CCVMS]] which is a cross Canada ICU collaborative project.
| | |explanation=was replaced by [[Central Line Related Blood stream Infection (CLR-BSI)]] / [[VAP]] as part of move to [[ICD10]] |
| | |successor= |
| | |content= |
|
| |
|
| ==Data Collection Instructions==
| |
| Nov 1.13 - Hi everyone: RE: TMP entries
| |
| *Please do not enter date and time for studies into TMP until you have actually confirmed a DX of VAP or CLI exists. Please don't use the TMP as a note section for reminders to yourself. Use the [[Notes field]] on you laptop. Each week when you send data, any INCOMPLETE files are also sent to TMPV2 database. So if you put in a TMP CLI or VAP as only reminder to self then when Julie is asked for reports on CLI or VAP, she picks this up for her report from the TMPV2 database. This affect the data in that it reduces the number days between CLI dates. We have no way of knowing that this only a reminder for you not a confirmed CLI or VAP. [[User:TOstryzniuk|Trish Ostryzniuk]] 15:33, 2013 November 1 (CDT )
| |
|
| |
|
| === A. [[VAP]]===
| |
| If patient is '''admitted''' with a VAP from another ICU then don't enter a Tmp entry.
| |
|
| |
|
| If an ICU patient has a '''Complication''' of '''[[VAP]]''', the following entry must be made in the L_TmpV2 file:
| | This article has been split into the following two to clear up instructions: |
| * Project: '''QAInf''' | | * [[QA Infection CLI]] |
| * Item: '''[[VAP]] Infection''' | | * [[QA Infection VAP]] |
| * Infx Dt: Date of infection is the '''date POSITIVE SPUTUM CULTURE''' was '''sent to micro lab'''; if no positive sputum culture, than not a VAP
| |
| * ''time: no time is collected for this project
| |
|
| |
|
| Go to [[VAP]] article for more information about VAP.
| | Leaving info about the cross-checks here because they are done together. |
|
| |
|
| '''The site where the VAP had "first" occurred at is the site that must get the credit for where this complication had occurred.'''
| | {{Data Integrity Check List}} |
|
| |
|
| ===B. [[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infection]]=== | | == Related articles == |
| #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:
| | {{Related Articles}} |
| #*Project: '''QAInf'''
| |
| #*Item: '''[[Central Line Related Blood stream Infection (CLR-BSI) | CLI]]
| |
| [[CLI Call Basil Evan if MICU/SICU/IICU]]''' phone:787-8794
| |
| #*DATE of infection (no time) is the date '''positive''' blood culture was '''sent''' to micro lab.
| |
| #*if '''no''' positive culture than '''not''' a CLR-BSI
| |
| #Patient already has a CLR-BSI present on admission to your unit:
| |
| #*in the admitting diagnosis field, enter Central Line Infection.
| |
| #*do not enter the DATE of positive culture in the Temp Studies field.
| |
| #*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.
| |
|
| |
|
| '''The site where the CLR-BSI had "first" occurred at is the site that must get the credit for where this complication had occurred.'''
| | [[Category: QAInfection]] |
| | |
| *Go to [[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infection]] article for more information about CLR-BSI.
| |
| | |
| [[ Category: TISS28]]
| |
| | |
| == Specs ==
| |
| ==='''ICU'''===
| |
| ==== Dates ====
| |
| * Start Date: '''Saturday August 22, 2009'''
| |
| * End Date: NONE - Continued project with the [[:Category: CCVSM | CCVSM]] cross Canada Collaborative--[[User:TOstryzniuk|TOstryzniuk]] 16:53, 4 October 2010 (CDT)
| |
| * Units Collecting: '''all ICU's''' in the Region. Exlcudes STB_CICU & CCU.
| |
| | |
| ==='''Medicine''' wards===
| |
| * part B only - The "Diagnosis" of a Central Line Infection
| |
| ==== Dates ====
| |
| * Start Date: '''Monday October 19, 2009'''
| |
| * End Date: NONE. Ongoing project for [[:Category: CCVSM | CCVSM]] cross Canada Collaborative.--[[User:TOstryzniuk|TOstryzniuk]] 16:51, 4 October 2010 (CDT)
| |
| * Units Collecting: Medicine wards: HSC, STB, VIC, GRA
| |
| | |
| == {{CCMDB Data Integrity Checks}} ==
| |
| | |
| [[Tmp Checker]] will check for the following:
| |
| === Dx but no tmp ===
| |
| If '''Complication Diagnosis''' is one of:
| |
| *[[Central Line Related Blood stream Infection (CLR-BSI) | Central line infection]] (code 86)
| |
| *[[VAP]] (code 39)
| |
| then
| |
| * L_TmpV2 entry with project "ICU Infection Audit" with date needed
| |
| | |
| === Tmp but no dx ===
| |
| If "QAInf" entry is present in [[L_TmpV2]] then
| |
| * program must be "CC"
| |
| * the '''corresponding''' diagnosis must exist
| |
| | |
| === DtTm has to be min 48hrs after admission ===
| |
| uses query ''s_tmp_QAInf_LT_48_hrs_after_admit''
| |
| DtTm of QAInf entry has to be '''at least 48hrs after patient admission''' unless the inf_dttm is blank.
| |
| | |
| == Data Integrity Rules ==
| |
| | |
| == Send mode ==
| |
| Data for '''all''' patients meeting requirements for this study, including patients you are not sending this batch, will be sent to TMPV2.mdb every time complete patients are sent. This is why there multiple rows of data for same patients in TMPV2.mdb (something to keep in mind when doing a query in Access. Statistician requires this data for reporting to ICU Quality team as soon as it is available.
| |
| | |
| | |
| [[Category:QAInfection]] | |
| [[Category: L_TmpV2 Data]] | | [[Category: L_TmpV2 Data]] |
| [[Category: Data Use]]
| |
| [[Category: QA]] | | [[Category: QA]] |
| [[Category: Special Short Term Projects]] | | [[Category: VAP - Ventilator Associated Pneumonia]] |
| [[Category: All Projects ICU & Medicine]]
| | }} |