QA Septic Shock: Difference between revisions
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{{Project | |||
|ProjectActive=legacy | |||
|ProjectProgram=CC | |||
|ProjectRequestor=Dr. Kendiss Olafson | |||
|ProjectCollectionStartDate=2017-03-06 | |||
|ProjectCollectionStopDate=2017-06-30 | |||
|Project={{PAGENAME}} | |||
}} | |||
{{LegacyContent | |||
|explanation=Tmp project ended | |||
|content= | |||
see [[#Study Run Times]] for details. | see [[#Study Run Times]] for details. | ||
Kendiss Olafson and the QA team are monitoring performance and appropriate interventions for [[Septic Shock]] in the ICUs in the Winnipeg Region. | 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== | ==Data Collection Method== | ||
For the '''first episode''' of '''[[Septic Shock]]''' (admit or complication) of any ICU patient, the following two entries must be made in the TMP, [[L_TmpV2]] file. | 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 === | === BP Criteria === | ||
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* Item: BP Criteria | * 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 | * 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 ''' | * '''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 ==== | ==== BP prior to admission ==== | ||
First low BP '''may be prior''' to ICU 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 '' | 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 === | === First '''NEW''' Antibiotic === | ||
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* Project: QASeptic | * Project: QASeptic | ||
* Item: First Antibiotic | * 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 | * Date and Time: Date/Time of first antibiotic given to treat sepsis | ||
* Comment: | * Comment: | ||
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==== Special Cases ==== | ==== Special Cases ==== | ||
Use your '''judgment''' to determine the '''first''' antibiotic likely <u>administered</u> to '''treat septic shock'''. | Use your '''judgment''' to determine the '''first''' antibiotic likely <u>administered</u> to '''treat septic shock'''. | ||
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== Study Run Times == | == Study Run Times == | ||
===Start Date | ===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. | |||
===Start Date | ===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 | 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. | *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). | *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). | ||
=== Start | === 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]] | |||
*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) | *Stop for '''all''' patient, that include those already in unit prior to July 1 who develop septic shock after July 1 | ||
**see: [ | *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) | ||
*Stop for '''all''' patient, that include those already in unit prior to July 1 who develop septic shock after July 1.--[[User:TOstryzniuk|TOstryzniuk]] 14:42, 27 June 2011 (CDT) | |||
=== Date or Comment === | === Date or Comment === | ||
Every entry for project QA Septic must have either a date or a time. | Every entry for project QA Septic must have either a date or a time. | ||
{{Data Integrity Check List|}} | |||
== Send mode == | == Send mode == | ||
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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) | 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: | [[Category:Sepsis]] | ||
[[Category: | [[Category:Shock]] | ||
[[Category: | [[Category:L_TmpV2 Data]] | ||
[[Category: | [[Category:QA]] | ||