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==Purpose==
{{Project
To find out if early notification and involvement by Infectious Disease of positive blood cultures will have an impact on improving patient outcome.
|ProjectActive=legacy
|ProjectProgram=Med
|ProjectRequestor=Dr. John Embil
|ProjectCollectionStartDate=2011-01-31
|ProjectCollectionStopDate=2011-06-30
|Project={{PAGENAME}}
}}
{{LegacyContent
|explanation=project was complete
|content=
== Purpose ==


== collection Instructions ==
To find out if early notification and involvement by Infectious Disease of positive blood cultures will have an impact on improving patient outcome.
For all patients who are on the lab list {{discussion}} (what is the actual name of the list?) for the study wards:
* '''"Positive Culture"''': date and time of positive culture, for all patients in study
* '''"ID Consult"''': date and time Infectious Disease Department consult response; if no response or patient leaves, deceased or AMA then check box "no consult response"
* '''"Order"''': date and time order written to change to appropriate antibiotic, if change is needed; if no change or patient leaves, deceased or AMA then check box "not available"
* '''"Antibiotic"''': date and time new antibiotic is given; if no new antibiotic is given or patient leaves, deceased or AMA then check box "no new antibiotic"


==Site and Ward involved==
== Collection Instructions in TMP file  ==
This study will run at HSC only
*Control units: H4
*Study units: A4 and D4


== Study Run Times ==
The lab will send a list of all patients with positive cultures to Con (GF216).
* Approved by Dr Roberts: January 2010
*For all patients on this list who are on the STUDY wards '''A4''' and '''D4''' and
* Start date: '''January 17,2011'''
*the CONTROL group wards '''H4''', enter:  
* Review Date: 30 days after start date
* Preliminary End Date: 1 month to 3 months after start date


== Lead ==
*'''&nbsp;1 "<u>Sample Drawn</u>"''': date and time sample was drawn
*lead contact for this project at the requestor's end
*'''&nbsp;2 "<u>Positive Culture</u>"''': date and time of positive culture
*Dr. John Embil Director, Infection Diseases Program.
*'''&nbsp;3 "<u>Orig Antibiotic</u>"''': date and time of original antibiotic '''prescription'''
** Terry Wuerz - resident physician
***enter name of antibiotic into the comment field
** Con Marks - Database Program
***if patient was NOT on an antibiotic before, then <u>'''CHECK BOX'''</u>&nbsp; "'''NO original antibiotics'''"
*'''&nbsp;4 "<u>ID Consult</u>"''': date and time Infectious Disease Department consult '''response'''  
***if no response or patient leaves, deceased or AMA then <u>'''CHECK&nbsp;BOX'''</u>'''&nbsp;''' "'''NO response'''"
*'''&nbsp;5 "<u>Order</u>"''': date and time order written to change to appropriate antibiotic, if change is needed
***enter name of antibiotic into the comment field
***if no change or patient leaves, deceased or AMA then '''<u>CHECK&nbsp;BOX</u>&nbsp;''' "'''NOT available'''."
*'''&nbsp;6 "<u>NEW</u> Antibiotic:"''' date and time '''new''' antibiotic is '''given'''
***enter name of antibiotic into the comment field
***if '''NO new antibiotic''' is given '''or patient leaves''', '''deceased''' or '''AMA''' then <u>'''CHECK BOX'''</u>&nbsp; '''"NO new antibiotic'''"


== Consistency Checks ==
<br>
[[Tmp Checker]] will check for the following:
* dates will need to be consistent with admit/discharge; waiting to hear back what rules will be for pts who leave.[[User:Ttenbergen|Ttenbergen]] 13:24, 24 December 2010 (CST) {{discussion}}
* If "Positive Culture" entry is present for a patient, then there will have to be either a date or a checkbox for the other three entries.


== Send mode ==
*Prior to sending data on a completed patient file, please write "Early ID Study" in the notes section for easy identification for Pagasa and Julie.--[[User:CMarks|CMarks]] 12:42, 18 February 2011 (CST)
Will data be sent for '''every''' patient at every send.


=== Special Cases  ===


Suggested to Con to use similar to QA Septic [[User:Ttenbergen|Ttenbergen]] 13:34, 24 December 2010 (CST)


==Statistician==
**'''Only for this study''', when a patient has a central line infection please include "septicemia" as a diagnosis also. This way we can capture the positive blood culture as per a previous discussion with Dr. Embil.--[[User:CMarks|CMarks]] 14:02, 18 March 2011 (CDT)
* What data will the [[statistician]] need to provide? {{discussion}}
 
**E-mail sent to Dr Embil Dec 22/10 and also to Julie Mojorica Dec 23/10--[[User:CMarks|CMarks]] 13:35, 23 December 2010 (CST)
== Study Run Times  ==
[[Category: Special_Short_Term_Projects]]
Approved by Dr Roberts: January 2010
[[Category: L_TmpV2 Data]]
===Start date===
[[Category: All Projects]]
"January 31, 2011"
[[Category: QA]]
*Review Date: 30 days after start date. Week of March 7.11.
*Preliminary End Date: 1 month to 3 months after start date
**Review done March 14,2011. Plan-continue study for approximately 6 weeks and review.-
===Stop date===
June 30, 2011
*Study is complete as of June 30,2011. No further collection is required. Study may be resumed at a later date once it is revamped by Dr. Embil.--[[User:CMarks|CMarks]] 15:56, 30 June 2011 (CDT)
 
== Project team  ==
 
*Primary contact for Data Collection: [[p:Con Marks]] ''R.N.''
*Project lead and main contact for project
**'''Dr. John Embil''' ''Director, Infection Diseases Program''
**'''Terry Wuerz''', ''resident physician''
 
== Consistency Checks  ==
 
[[Function TmpChecker]] will check for the following:
 
*dates will need to be consistent with admit/discharge; waiting to hear back what rules will be for pts who leave.[[User:Ttenbergen|Ttenbergen]] 13:24, 24 December 2010 (CST)
**I am unsure what you mean Tina.--[[User:CMarks|CMarks]] 15:06, 21 January 2011 (CST)
*If "Positive Culture" entry is present for a patient, then there will have to be either a date or a checkbox for the other entries.
*If patient discharged and blood culture result not back before this, follow the 5 day rule to see if culture is positive before sending as a completed data file.--[[User:CMarks|CMarks]] 14:17, 20 January 2011 (CST)
***'''CLARIFICATION'''--If the blood culture was sent from another ward/ER/ICU but the patient is '''physically''' located on A4 or D4 and it comes back positive the patient profile qualifies for the study. If the patient is anywhere but these wards NO information needs to be collected as they do not qualify for the study.--[[User:CMarks|CMarks]] 13:21, 16 March 2011 (CDT)
 
== Sending to TmpV2.mdb  ==
 
Data will be sent '''only for the completed patient data files''' as is normally done on Wednesdays.--[[User:CMarks|CMarks]] 14:22, 20 January 2011 (CST)
*The above is was not happening.  Repeated data is sent every week.  Tina will need to fix if project is started again in the future. --[[User:TOstryzniuk|TOstryzniuk]] 17:38, 15 June 2011 (CDT)
 
== Statistician  ==
 
The following data needs to be reported back to Dr. Embil, pending review at the review date above:
 
*Early ID Study data from TMPV2,Initials, ward location chart number, LOS, admit date, discharge date,and complications &amp; comorbid conditions.
 
*In 1 month - the above raw data to be sent to Dr. Embil (in Excel would be fine). Julie will pull needed elements from ccmdb, database and TMPV2 and sent to Dr. Embil. This would be the end of the first week of March. The information will analyzed by Dr. Embil and team.
*Dr. Embil may asks Julie later in the project if it is continued do some minor analysis.
 
{{Data Integrity Check List|}}
[[Category:L_TmpV2_Data]]  
[[Category:QA]]
}}
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