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| ==Data Collection Method== | | ==Data Collection Method== |
| === Instructions ===
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| 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, on your [[PDA]] or [[Laptop]] file: | | 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, on your [[PDA]] or [[Laptop]] file: |
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| ==== First SBP<90 ====
| | === First SBP<90 === |
| * Project: QASeptic | | * Project: QASeptic |
| * Item: First SBP<90 | | * Item: First SBP<90 |
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| ***('''may be prior to ICU admission''') | | ***('''may be prior to ICU admission''') |
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| ==== First '''NEW''' Antibiotic ====
| | === First '''NEW''' Antibiotic === |
| * Project: QASeptic
| | The time of antibiotics is the date and time antibiotics are given for '''sepsis'''. This may occur prior to the development of shock or after. |
| * Item: First '''NEW''' Antibiotic
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| **'''Date and Time:''' record the date/time that a '''NEW antibiotic''' is started '''to treat septic shock.''' If NEW antibiotics are '''not ordered''' '''immediately after''' '''septic shock onset''', then record the date/time that the antibiotic was '''last''' '''changed and started''' '''PRIOR to''' septic shock. ('''this may be prior to ICU admission''')--[[User:TOstryzniuk|TOstryzniuk]] 14:35, 4 February 2010 (CST)
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| ** If the patient '''does not receive Antibiotics''' (e.g. DC treatment) in the COMMENT section in TMP: type in a reason why antibiotic not given.
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| ***'''INSTRUCTION''': for next ICU transfered into, in the TMP file select ITEM: First BP <90, don't put a date however in the '''COMMENT''' section type in the following: '''transfered from previous ICU with DX of shock already coded'''.
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| ****integer variable: we would like you to add a counter for each incident of Shock you have and antibiotic start date. For example if ,...--[[User:TOstryzniuk|TOstryzniuk]] 14:39, 11 December 2009 (CST)
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| | If the person then goes into septic shock and the antibiotics '''are not changed''' the time is that of '''original''' antibiotic coverage. |
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| ===Question===
| | If the antibiotics '''are changed''' in response to the new shock state then the time of Antibiotics is the date/time that the '''new''' antibiotics were given. |
| {{Discussion}}
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| #I have a question about patients who have probable perforated viscous and go to surgery for lap & repair, become hypotensive intra-op or post-op. They are usually given antibiotics on spec and may have negative post-op blood cultures or no blood culture sent since the bug is assumed from spillage of gut contents. Do we enter the time of the pre-op antibiotic in the audit data?
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| #In another situation, if the patient had another infection pre- the shock state & antibiotics are given with again a negative blood culture, so no change in antibiotic is made - do we use the time of the antibiotics given for the first infection? --[[User:Jpeterson|Jpeterson]] 10:33, 8 December 2009 (CST)
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| *The time of antibiotics is the date and time antibiotics are given for sepsis… (this may occur prior to the development of shock or after.). If the person '''then goes into septic shock''' and '''the antibiotics are not changed'''''' the time remains at the time/date of original antibiotic coverage'''. IF the antibiotics are changed in response to the new shock state then the time of Antibiotics is the date/time that the NEW antibiotics were given.
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| *For both of these cases the date/time of original antibiotics were given would be the time of antibiotics as it does not appear the antibiotics were changed following the development of shock.--Kendiss Olafson. Dec 9.0956 AM.
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| | If the patient '''does not receive Antibiotics''' (e.g. DC treatment) provide a reason in the comment section of the "First Antibiotic" entry. |
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| ===Discussion===
| | * Project: QASeptic |
| {{Discussion}}
| | * Item: First Antibiotic |
| *Julie, encounter number in integer var, has not been implemented yet. Do you need it?--User:TOstryzniuk|TOstryzniuk]] 14:41, 4 February 2010 (CST) | | * Date and Time: Date/Time as discussed above |
| | * Comment: |
| | ** note reason if an antibiotic was not given |
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| == Study Run Times == | | == Study Run Times == |