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| ==Purpose== | | {{LegacyContent |
| Kendiss Olafson & the QA team are monitoring [[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infections]] and [[VAP]]s in the ICUs.
| | |explanation=was replaced by [[Central Line Related Blood stream Infection (CLR-BSI)]] / [[VAP]] as part of move to [[ICD10]] |
| | |successor= |
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| == Specs ==
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| ==='''ICU'''===
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| * Start Date: '''Saturday August 22, 2009'''
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| * End Date / Duration: '''1 year''' to '''August 31, 2010''' then evaluate (Review booked in Trish's Outlook).
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| * Units Collecting: '''all ICU's''' in the Region.
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| ==='''Medicine''' wards===
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| * part B only - Central Line Infection start date
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| * Start Date: '''Monday October 19, 2009'''
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| * End Date / to August 31, 2010 then evaluate (Review booked in Trish's Outlook).
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| * Units Collecting: Medicine wards: HSC, STB, VIC, GRA
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| ==Data Collection Method==
| | This article has been split into the following two to clear up instructions: |
| === A. [[VAP]]===
| | * [[QA Infection CLI]] |
| If an ICU patient has a '''Complication''' of '''[[VAP]]''', the following entry must be made in the L_TmpV2 file:
| | * [[QA Infection VAP]] |
| * Project: '''QAInf'''
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| * Item: '''[[VAP]] Infection''' | |
| * Infx Dt: Date of infection (no time) is the date POSITIVE SPUTUM CULTURE was sent to micro lab.
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| **Tina I have coded VAP for one of our patients. While editing profiles to send I had to put in a time. We are only supposed to have the date of the first positive culture correct? Anyway if we only need the date my system has a glitch.[[User:NMiller|NMiller]] 21:31, 28 October 2009 (CDT) | |
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| ===B. [[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infection]]===
| | Leaving info about the cross-checks here because they are done together. |
| If a patient has a '''Complication''' of '''[[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infection]]''', the following entry must be made in the L_TmpV2 file:
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| * Project: '''QAInf'''
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| * Item: '''[[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infection]]'''
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| * Infx Dt: Date of infection (no time) is the date POSITIVE BLOOD CULTURE was sent to micro lab.
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| | {{Data Integrity Check List}} |
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| | == Related articles == |
| | {{Related Articles}} |
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| ==Line Count Form used by ICU's==
| | [[Category:QAInfection]] |
| | | [[Category:L_TmpV2 Data]] |
| *Form is completed daily by CRN (charge nurse) or manager and FAXED to the Database Research office once per week (every Monday with previous weeks data).
| | [[Category:QA]] |
| *[[Data Processor]] makes a phone call to specific contact people in each ICU every week if the form is not submitted by Wednesday each week.
| | [[Category:VAP - Ventilator Associated Pneumonia]] |
| *[[Data Processor]] manually enters values from this form into an Access database on our office share drive X.
| | }} |
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| **The same form is used by ICU charge nurses for the QA [[ETT unschedule extubations]] project and for Central Line Infection Rate counting and [http://ltc.umanitoba.ca/wikis/ccmdb/index.php/QA_Infection_Audit#B._Central_Line_Related_Blood_stream_infection_.28CLR-BSI.29 QAInf ITEM B above.] & article [[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infection]]
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| **[http://ltc.umanitoba.ca/wikis/ccmdb/images/4/49/HSC_NEW_CentralLine_ETTUBE_Data_Collection_Form.pdf HSC Form]
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| **[http://ltc.umanitoba.ca/wikis/ccmdb/images/6/6a/IICU-NEW_CentralLine_ETTUBE_Data_Collection_Form.pdf HSC-IICU Form]
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| **[http://ltc.umanitoba.ca/wikis/ccmdb/images/6/69/NEW_CentralLine_ETTUBE_Data_Collection_Form.pdf All other ICU's form]
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| == Consistency Checks ==
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| [[Tmp Checker]] will check for the following:
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| === Dx but no tmp ===
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| If '''Complication Diagnosis''' is one of:
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| *[[Central Line Related Blood stream Infection (CLR-BSI) | Central line infection]] (code 86)
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| *[[VAP]] (code 39)
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| then
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| * L_TmpV2 entry with project "ICU Infection Audit" with date needed
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| === Tmp but no dx ===
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| If "QAInf" entry is present in [[L_Tmp]] then
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| * program must be "CC"
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| * the '''corresponding''' diagnosis must exist
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| == Send mode ==
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| 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.
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| ==Discussion==
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| {{Discussion}}
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| *From: Debbie Page-Newton
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| *Sent: Monday, March 01, 2010 9:04 PM
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| *To: Trish Ostryzniuk
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| *Subject: question re: central line infection temp study
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| *Hi Trish,
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| *I have now taken over e5 and I have a question re: central line infection temp study. I have reviewed it on the wiki, and I still can't find an answer. (This is for a patient that Elaine did before I took over, and I'm completing the d/c.) Patient has an admit dx. of central line infection with pathogen unknown.
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| *There is NOT a positive blood culture report. Blood cultures were drawn, but do not have any growth to date. Will access complain if the date is not filled in, i.e. you are supposed to put in the date of the positive blood culture report, and in this case there is none. Deb P.N.STB
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| *Clearly, if there is no positive line culture then you should not be coding a central line infection. --[[User:LKolesar|LKolesar]] 09:58, 19 March 2010 (CDT)
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| **Look here for: [http://ltc.umanitoba.ca/wikis/ccmdb/index.php/Central_Line_Related_Blood_stream_Infection_%28CLR-BSI%29#Criteria_for_Central_Line_Related_Blood_stream_Infections_.28CLR-BSI.29 Criteria for Central line related infection]. Note- since we are collecting this information from wards then substitute the word ICU for specific med ward.--[[User:TOstryzniuk|TOstryzniuk]] 18:02, 18 March 2010 (CDT)
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| [[Category: Special_Short_Term_Projects]] | |
| [[Category: L_TmpV2 Data]] | |
| [[Category: All Projects]] | |
| [[Category: QA]] | |