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{{LegacyContent |explanation=Tmp project ended |content= see [[#Study Run Times]] for details. Kendiss Olafson and the QA team are monitoring performance and appropriate interventions for [[Septic Shock]]/[[Shock, septic]] in the ICUs in the Winnipeg Region. ==Data Collection Method== For the '''first episode''' of '''[[Septic Shock]]/[[Shock, septic]]''' (admit or complication) of any ICU patient, the following two entries must be made in the TMP, [[L_TmpV2]] file. === BP Criteria === * Project: QASeptic * Item: BP Criteria * Date and Time: that the '''blood pressure''' (BP) criteria is met for the '''first time''' as per [[Septic_Shock#.281.29_Blood_pressure_.28BP.29_criteria | Septic Shock Blood Pressure Guideline]] guideline * '''Comment''': only in case of ''transfer from other ICU'', enter '''transferred from previous ICU with DX of shock already coded'''; in that case don't code date/time ==== BP prior to admission ==== First low BP '''may be prior''' to ICU admission. If a patient with existing septic shock is '''transferred''' from one ICU to another, for next ICU transferred ''into,'' code Item: First BP <90 with '''no date/time''' and enter ''transferred from previous ICU with DX of shock already coded'' as the '''COMMENT'''. === First '''NEW''' Antibiotic === The time of antibiotics is the date and time antibiotics are given '''for sepsis'''. * Project: QASeptic * Item: First Antibiotic ** includes all antimicrobials, not just antibiotics ** if causative agent turns out insensitive to that antimicrobial, still enter it; this study is concerned with the delays in treatment, not the use of the correct drug * Date and Time: Date/Time of first antibiotic given to treat sepsis * Comment: ** note reason if an antibiotic was not given ** state if non-standard source of information was used ==== Special Cases ==== Use your '''judgment''' to determine the '''first''' antibiotic likely <u>administered</u> to '''treat septic shock'''. If a patient was on antibiotics '''prior to''' meeting the conditions for shock, then: *if the antibiotic is '''not''' changed after going into shock, use the date/time of the last antibiotic <u>administered</u> '''prior to''' onset of shock; *if the antibiotic '''is''' changed and <u>administered</u>''' shortly before '''or''' after''' going into shock then use your judgment to determine the following: **if the antibiotic change was likely '''related''' to the imminent septic shock, record the date/time that '''new''' antibiotic was <u>administered</u> as the start dt/tm; you can state your reason in the comments field. **if the antibiotic change was likely '''unrelated''' to septic shock, code the date and time of the first <u>administered</u> antibiotic change AFTER or the most recent change BEFORE (again, use your judgment) <br> If you are using '''non-standard data sources''' such as the in/out sheet, note so in the comment field. If the patient '''does not receive Antibiotics''' (e.g. DC treatment) don't enter a date but provide a reason in the comment section of the "First Antibiotic" entry. == Study Run Times == ===Third wave - Start Date: March 6, 2017 00:01 / End Date: June 30, 2017 23:59 === Any patient who is discharged between the above dates and has a DX of septic shock needs to have a QASeptic Tmp entry. *Tmp entry is not required for those patients admited during the study time but discharged after June 30 23:59 (confirmed with Julie)[[User:GHall|GHall]] 10:34, 2017 July 6 (CDT) *The ICU QI team has requested an updated review. ===Second wave - Start Date: April 1, 2012 / End Date: June 30, 2012 === Three month data collection for the Septic Shock Study. A review of the current data has been completed by the [[p:Julie Mojica |statistician]] and the ICU QI on June 12.12. *RE: '''stop date''': Patients '''ADMITTED up to midnight June 30th''' will '''continue to be entered and followed''' for QASeptic Study '''until they are discharged''' from the ICU. *Any new patients ADMITTED on July 1st 0001 hrs will not be entered into the QASeptic Study.--[[User:TOstryzniuk|Trish Ostryzniuk]] 16:05, 2012 June 13 (CDT). === First wave - Start Date: October 8, 2009 / End Date: July 1, 2011 === Every qualifying patient sent after this date will need to have a temp entry, not only patients admitted after this date. *Review Date - done Feb 2,2010 **Data is showing some good trends for ICU's in the Region. Dr. Kendiss Olafson from the ICU QI team will present at the data collection team meeting in April 2010.--[[User:TOstryzniuk|TOstryzniuk]] 16:30, 2 February 2010 (CST)--[[User:TOstryzniuk|TOstryzniuk]] 16:30, 2 February 2010 (CST) **see: [[QA_Septic_Shock#Update:_Feb_2.2010_Review_Meeting Feb 2.2010 |Review Meeting]] *Stop for '''all''' patient, that include those already in unit prior to July 1 who develop septic shock after July 1 *we will attempt to resume in fall time "after" Education blitz completed by ICU QA team.--[[User:TOstryzniuk|TOstryzniuk]] 14:42, 27 June 2011 (CDT) === Date or Comment === Every entry for project QA Septic must have either a date or a time. {{Data Integrity Check List|}} == 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. == Related articles == * [[Septic Shock]] == Legacy == In [[CCMDB.mdb_Change_Log_2012#ver_2012-09-06]] "First SBP<90" was changed to "BP Criteria". [[User:Ttenbergen|Ttenbergen]] 11:08, 2012 September 12 (CDT) }} [[Category:Sepsis]] [[Category: Shock]] [[Category: L_TmpV2 Data]] [[Category: QA]]
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