QA Infection

Purpose

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

Specs

• Start Date: Saturday August 22, 2009
• End Date / Duration: 1 year, then evaluate.TOstryzniuk 12:00, 20 August 2009 (CDT)
• Units Collecting: all ICU's except STB_CCU & STB_CICU

Data Collection Method

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)

If an ICU 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)

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

Dx with wrong tmp

For every QAInf entry in L_Tmp there must exist a diagnosis corresponding to the item

Send mode

Data for a patient will be sent each week patient files are sent in.TOstryzniuk 18:02, 24 August 2009 (CDT)

Possible expansion to Medicine Wards

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