QA Infection

Purpose

Kendiss Olafson & the QA team are monitoring Central Line Infections and VAPs in the ICUs.

Specs

ICU

• Start Date: Saturday August 22, 2009
• End Date / Duration: 1 year to August 31, 2010 then evaluate.--TOstryzniuk 12:12, 27 August 2009 (CDT)
• Units Collecting: all ICU's in the Region.

Medicine wards

• part B only - Central Line Infection start date
• Start Date: Monday October 19, 2009
• End Date / to August 31, 2010 then evaluate.--TOstryzniuk 18:09, 16 October 2009 (CDT)
• Units Collecting: Medicine wards: HSC, STB, VIC, GRA

Data Collection Method

A. VAP

If an ICU patient has a Complication of VAP, the following entry must be made in the L_TmpV2 file:

• Project: QAInf
• Item: VAP Infection
• Infx Dt: Date of infection (no time) is the date POSITIVE SPUTUM CULTURE was sent to micro lab.

B. Central Line Related Blood stream infection (CLR-BSI)

If a patient has a Complication of Central Line Infection, the following entry must be made in the L_TmpV2 file:

• Project: QAInf
• Item: Central Line Infection
• Infx Dt: Date of infection (no time) is the date POSITIVE BLOOD CULTURE was sent to micro lab.

Line Count Form used by ICU's

• 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).
• 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.
• Data Processor manually enters values from this form into an Access database on our office share drive X.

• • The same form is used by ICU charge nurses for the QA Infection Audit for Central Line Infection Rate counting. See Item B on QAInf

• • HSC Form
  • HSC-IICU Form
  • All other ICU's form

Consistency Checks

Tmp Checker will check for the following:

Dx but no tmp

If Complication Diagnosis is one of:

• 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_Tmp then

• program must be "CC"
• the corresponding diagnosis must exist

Send mode

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.

Possible expansion to Medicine Wards

We might start to collect Central Line Infections in Medicine as well pending input from Dr. Roberts.