Transfusion Audit: Difference between revisions
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{{Project | |||
|ProjectActive=legacy | |||
|ProjectProgram=CC | |||
|ProjectRequestor=Unknown/legacy | |||
|ProjectCollectionStartDate=2007-11-01 | |||
|ProjectCollectionStopDate=2008-01-31 | |||
|Project={{PAGENAME}} | |||
}} | |||
Legacy only, see below for details | |||
==Purpose== | ==Purpose== | ||
*to audit the appropriateness of RBC transfusion practices in the ICU. | *to audit the appropriateness of RBC transfusion practices in the ICU. | ||
== | ==Audit Dates== | ||
*2004/2005 | *Random audits | ||
'''2004/2005''' | |||
*'''STB''' (May 1.04 to Jun 30.05) SICU & MICU | |||
*'''HSC''' (Jan to Jun 30.05) SICU & MICU | |||
'''2007/2008''' | |||
*'''all ICU's''' in City of Winnipeg (exclude CCU & IICU) (Nov 1.07 to Jan 31.08) | |||
Data can be found on: '''{{S:\MED\MED_CCMED}}CCMDB_Special_Projects\Transfusion\2004_2005_TRANSFUSION''' | |||
==Amendments to transfusion collection process guidelines:== | ==Amendments to transfusion collection process guidelines:== | ||
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*If two or more units of PC are ordered to be given consecutively in a row and there is no Hgb level drawn between each unit of PC’s, record the same Hgb level that you used for the first PC transfused and in the comment section for the second PC transfused type: same Hgb. | *If two or more units of PC are ordered to be given consecutively in a row and there is no Hgb level drawn between each unit of PC’s, record the same Hgb level that you used for the first PC transfused and in the comment section for the second PC transfused type: same Hgb. | ||
*'''This data needs to be completed as soon as possible for '''''all''''' patients, not only those who are being sent, since the data is sent for all patients every time data is sent. ''' | |||
==APPROPRIATE Transfusion if following Criteria is met:== | ==APPROPRIATE Transfusion if following Criteria is met:== | ||
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5. '''INAPPROPRIATE''' Transfusion if: | 5. '''INAPPROPRIATE''' Transfusion if: | ||
If criteria 1 to 4 above not met | |||
==THE RULES== | ==THE RULES== | ||
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**2. ACS + | **2. ACS + | ||
**3. Active bleed. | **3. Active bleed. | ||
If both DX, then choose 3. Active bleed | |||
*Hgb 71 or more + | *Hgb 71 or more + | ||
**2. ACS + | **2. ACS + | ||
**4. Septic shock. | **4. Septic shock. | ||
If both DX, then choose 4. Septic Shock | |||
*Hgb 71 or more + | |||
**3. Active bleed + | **3. Active bleed + | ||
**4. Septic Shock | **4. Septic Shock | ||
If both DX, then choose 3. Active bleed | |||
==Dec 7.07 @1400 hrs UPDATE: Collection GUIDE== | ==Dec 7.07 @1400 hrs UPDATE: Collection GUIDE== | ||
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3. Quality checking the total number of PC transfusion with LAB data | 3. Quality checking the total number of PC transfusion with LAB data | ||
*For all patients admitted on Nov 1.07 and discharged on for before Feb 3.08 the total number of PC’s transfused should equal to total number of PC tallied in your Lab data. Please make sure you do this cross check before you send in files. | *For all patients admitted on Nov 1.07 and discharged on for before Feb 3.08 the total number of PC’s transfused should equal to total number of PC tallied in your Lab data. Please make sure you do this [[cross check]] before you send in files. (ACCESS takes care of this data integrity check now). | ||
[[Category:L_TmpV2 Data]] | |||
[[Category:QA]] | |||