Central Line Day: Difference between revisions

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Used in aggregate form as "per location" and/or "per timeframe", e.g. by day, month/quarter/year x Ward/Unit x Hospital
Used in aggregate form as "per location" and/or "per timeframe", e.g. by day/month/quarter/year x Ward/Unit x Hospital


Central line  days are taken from [[Central venous catheter (TISS Item)]] and CCI Procedure on any type of Central Venous Catheter, except '''[[Swan-Ganz (Pulmonary Artery Flotation) Catheter placement]]'''
Central line  days are taken from [[Central venous catheter (TISS Item)]] and CCI Procedure on any type of Central Venous Catheter, except '''[[Swan-Ganz (Pulmonary Artery Flotation) Catheter placement]]'''
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===QI domain===
===QI domain===
(one or more of:
*[[QualityDomain::Safe]]
*[[QualityDomain::Safe]]
*[[QualityDomain::Timely]]
*[[QualityDomain::Timely]]
*[[QualityDomain::Efficient]]
*[[QualityDomain::Efficient]]
*[[QualityDomain::Staff]])
*[[QualityDomain::Staff]]
 
==Significance==
==Significance==
Infection  prevention and control unit tracks the central lines placements  for CLABSI, quality improvement and resource utilization.  
Critical Care and Infection  Prevention and Control Unit track the central lines placements  for CLABSI, quality improvement and resource utilization.
 
==Sampling Plan / Procedure==
==Sampling Plan / Procedure==
===Inclusion Criteria===
===Inclusion Criteria===
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===Frequency===
===Frequency===
Daily recording of dates a patient with central lines
*Daily recording of dates a patient with central lines
Total number of ICU patients and ICU days being on CRRT are calculated and reported on a monthly, quarterly or yearly basis based on the daily data.
*Total number of ICU patients and ICU days with central lines on a monthly, quarterly or yearly basis based on the daily data.
Time Reference for month, quarter or year can be based on ICU admission dates or ICU discharge dates. For the [[CRRT Report]] , the calendar dates are used as the time of reference.
*Time Reference for month, quarter or year is based on calendar dates


==Definition and Derivation==
==Definition and Derivation==
===Numerator===
===Numerator===
===Denominator===
===Denominator===
==Reported as==
*Dates with central lines by patient
*Total patients with central lines and total central line days for a given time frame and site
** Used as denominator for [[Central Line Associated Blood-Stream Infection (CLA-BSI) rate]]


==Data Sources==
==Data Sources==
Feb 2008 to Dec 2012
* Daily counting of central lines from sites is being submitted to the Database main office which is being entered and saved by the [[Data Processor]] into an access file in S:\MED\MED_CCMED\CCMDB_Special_Projects\Central_Line_Infections_ETube\DATA_ENTRY_LineCounts_ETube\CentralLineswithETtube.mdb 
Jan 2013 to Sept 30, 2020
*Daily data for Central lines is taken from [[Central venous catheter (TISS Item)]]  from the TISS form being marked by ICU bed side nurses and quality checked by the Database [[Data Collector]]s.
*T17 - Central venous catheter - any (includes Cordis, PICC, vascath etc.
Starting Oct 1, 2020, the above [[TISS28]] element is collected as part of the [[CCI Collection]].
*Central venous catheter (TISS Item)
==Report Users==
*Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee
*Infection Prevention and Control Unit  [[HSC MICU/SICU Central Line Days by patient]]


==SAS Program==
==SAS Program==
*S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\Read_TISS76_TISS28_TISSinCCI.sas
*S:\MED\MED_CCMED\Julie\CC Projects\2021\05_HSCCLI_Sonja\CFE_HSCMICUSICU_CL_PT_startNov2021.sas


== See also ==
== See also ==
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== Related articles ==  
== Related articles ==  
{{Related Articles}}
{{Related Articles}}
CRRT days are taken from TISS item  [[CRRT (TISS Item)|CRRT]] and  CCI procedure [[CRRT (incl volume removal via PRISMA device)|CRRT]].
CRRT Days are part of the report being done for the Critical Care and Renal Program  [[CRRT Report]] .
===QI domain===
*[[QualityDomain::Safe]]
*[[QualityDomain::Timely]]
*[[QualityDomain::Efficient]]
*[[QualityDomain::Staff]])
==Significance==
==Sampling Plan / Procedure==
===Inclusion Criteria===
100% sampling for all patients on CRRT
===Exclusion Criteria===
Patients who are not on CRRT
===Frequency===
Daily recording of dates a patient being on CRRT
Total number of ICU patients and ICU days being on CRRT are calculated and reported on a monthly, quarterly or yearly basis based on the daily data.
Time Reference for month, quarter or year can be based on ICU admission dates or ICU discharge dates. For the [[CRRT Report]] , the calendar  dates are used as the time of reference.
==Definition and Derivation==
===Numerator===
===Denominator===
==Data Sources==
Daily data for CRRT is taken from the TISS item [[CRRT (incl volume removal via PRISMA device)|CRRT]].
The TISS form was being marked daily by ICU bed side nurses and quality checked by the Database [[Data Collector]]s.
Starting Oct 1, 2020, the above [[TISS28]] element is collected as part of the [[CCI Collection]].
==SAS Program==
S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\Prep_TISSandCCI.sas