QA Septic Shock

Purpose

Kendiss Olafson & the QA team are monitoring performance and appropriate interventions for Septic Shock in the ICUs.

Data Collection Method

If an ICU patient has an admit or complication diagnosis of Septic Shock, the following two entries must be made in the L_TmpV2 file:

• Project: QASeptic
• Item: First SBP<90
  • this is the first blood pressure under 90 that is due to septic shock (may be prior to ICU admission)
• Date and Time

• Project: QASeptic
• Item: First Antibiotic
  • this is the first new antibiotic to address septic shock (may be prior to ICU admission)
• Date and Time

Times

• Start date: likely Thu 2009 Oct 8 (after that week's send)
• Review Date: (~75 days after start) - meeting booked with Kendiss and Trish for 2009 Dec 22
• Preliminary End Date: (6 months after start) - 2010 Apr 8 (set in ccmdb.mdb consistency checks)

Consistency Checks

Tmp Checker will check for the following:

Dx but no tmp

L_Tmp entry is required if:

• a DX of Septic shock exists
• program is "CC"

Tmp but no dx

A diagnosis must exist if:

• a "QASeptic" entry is present in L_Tmp
• program must be "CC"

Send mode

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.