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Kendiss Olafson and the QA team are monitoring performance and appropriate interventions for [[Septic Shock]] in the ICUs in the Winnipeg Region.
{{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.
 
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.
   
   
=== First SBP<90 ===
=== BP Criteria ===  
* Project: QASeptic
* Project: QASeptic
* Item: First SBP<90
* 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 '''transfered from previous ICU with DX of shock already coded'''; in that case don't code date/time
* '''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
*We include patients who meet the septic shock BP criteria who may not have a BP less than 90 but meet the criteria that is otherwise stated.In other words not every patient will have a SBP of 90 if they meet the other criteria.


==== Special Cases ====
==== 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 ''transfered from previous ICU with DX of shock already coded'' as the comment.
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:  
Line 27: Line 42:


==== 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'''.  


Line 42: Line 56:


== Study Run Times ==
== Study Run Times ==
===''Start Date 2 - '''April 1, 2012''''' ===
===Third wave - Start Date: March 6, 2017 00:01 / End Date: June 30, 2017 23:59 ===
'''''Three month''''' data collection for the Septic Shock Study.  Before the 3 month period ends, the statistician will make an assessment.  If the data is not conclusive, and there is not enough in the population, collection will be extended for a short period to obtain what is needed.
Any patient who is discharged between the above dates and has a DX of septic shock needs to have a QASeptic Tmp entry.
*Targeted completion date June 31, 2012, but may be extend after review before this end date.--[[User:TOstryzniuk|Trish Ostryzniuk]] 14:38, 2012 February 23 (CST)
*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.


{{Discussion}}
===Second wave - Start Date: April 1, 2012 / End Date: June 30, 2012 ===
Tina do you have any suggestion how to organize the multiple start & stop dates in one articles?[[User:TOstryzniuk|Trish Ostryzniuk]] 20:21, 2012 February 17 (CST)
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.
*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 date 1: October 8, 2009 ===
=== 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.
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
=== Review Date ===
**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)
==== Feb 2,2010'''====
**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: [http://ltc.umanitoba.ca/wikis/ccmdb/index.php/QA_Septic_Shock#Update:_Feb_2.2010_Review_Meeting Feb 2.2010 Review Meeting]
*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)
 
=== End Date 1===
*'''STOP on Friday, July 1, 2011''' - we will resume in fall time "after" Education blitz completed by ICU QA team.
*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)
 
== Consistency Checks ==
[[Tmp Checker]] will check for the following:


=== 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.


=== Dx but no tmp ===
{{Data Integrity Check List|}}
[[L_TmpV2]] entry is required if:
* a DX of Septic shock exists
* program is "CC"
(implemented by [[s_tmp_QASeptic_Dx_no_tmp]])
 
=== Tmp but no dx ===
A diagnosis must exist if:
* a "QASeptic" entry is present in [[L_TmpV2]]
* program must be "CC"
**implemented by: [[S tmp QASeptic Dx no tmp]]


== Send mode ==
== Send mode ==
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* [[Septic Shock]]
* [[Septic Shock]]


[[Category: Special_Short_Term_Projects]]
== Legacy ==
[[Category: L_TmpV2 Data]]
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: All Projects]]
 
[[Category: QA]]
}}
[[Category: Data Use]]
 
[[Category:Sepsis]]
[[Category:Shock]]
[[Category:L_TmpV2 Data]]
[[Category:QA]]
Retrieved from "https://ccmdb.kuality.ca/index.php?title=QA_Septic_Shock"