QA Septic Shock: Difference between revisions

agree with Lisa; summarized and removed the discussion
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{{Project
{{Project
| Project = {{PAGENAME}}
|ProjectActive=legacy
| ProjectActive = active
|ProjectProgram=CC
| ProjectProgram = CC
|ProjectRequestor=Dr. Kendiss Olafson
| 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 '''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


==== 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 ''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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== Study Run Times ==
== Study Run Times ==
===Third wave - Start Date: March 6, 2017 00:01 / End Date: June 30, 2017 23:59 ===
===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.  
Any patient who is discharged between the above dates and has a DX of septic shock needs to have a QASeptic Tmp entry.
*The ICU QI team has requested an updated review.  
*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.


===Second wave - Start Date: April 1, 2012 / End Date: June 30, 2012 ===
===Second wave - Start Date: April 1, 2012 / End Date: June 30, 2012 ===
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*Review Date - done Feb 2,2010
*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)
**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: [http://ltc.umanitoba.ca/wikis/ccmdb/index.php/QA_Septic_Shock#Update:_Feb_2.2010_Review_Meeting Feb 2.2010 Review Meeting]
**see: [[QA_Septic_Shock#Update:_Feb_2.2010_Review_Meeting Feb 2.2010 |Review Meeting]]
*Stop for '''all''' patient, that include those already in unit prior to July 1 who develop septic shock after July 1
*Stop for '''all''' patient, that include those already in unit prior to July 1 who develop septic shock after July 1
*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)
*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)
[[Category:Sepsis]]
== 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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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: Shock]]
[[Category:Sepsis]]
[[Category: L_TmpV2 Data]]
[[Category:Shock]]
[[Category: QA]]
[[Category:L_TmpV2 Data]]
[[Category: All Legacy Projects]]
[[Category:QA]]