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| ==Purpose==
| | This article has been split into the following two to clear up instructions: |
| The [[:Category:Critical Care QI Team | Critical Care QI Team]] is monitoring [[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infections]] and [[VAP]]s in the ICUs. This project is in collaboration with [[:Category: CCVSM | CCVMS]] which is a cross Canada ICU collaborative project.
| | * [[QA Infection CLI]] |
| | * [[QA Infection VAP]] |
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| ==Data Collection Instructions==
| | Leaving info about the cross-checks here because they are done together. |
| Nov 1.13 - Hi everyone: RE: TMP entries
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| *Please do not enter date and time for studies into TMP until you have actually confirmed a DX of VAP or CLI exists. Please don't use the TMP as a note section for reminders to yourself. Use the [[Notes field]] on you laptop. Each week when you send data, any INCOMPLETE files are also sent to TMPV2 database. So if you put in a TMP CLI or VAP as only reminder to self then when Julie is asked for reports on CLI or VAP, she picks this up for her report from the TMPV2 database. This affect the data in that it reduces the number days between CLI dates. We have no way of knowing that this only a reminder for you not a confirmed CLI or VAP. [[User:TOstryzniuk|Trish Ostryzniuk]] 15:33, 2013 November 1 (CDT )
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| === A. [[VAP]]===
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| If patient is '''admitted''' with a VAP from another ICU then don't enter a Tmp entry.
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| If an ICU patient has a '''Complication''' of '''[[VAP]]''', the following entry must be made in the L_TmpV2 file:
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| * Project: '''QAInf'''
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| * Item: '''[[VAP]] Infection'''
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| * Infx Dt: Date of infection is the '''date POSITIVE SPUTUM CULTURE''' was '''sent to micro lab'''; if no positive sputum culture, than not a VAP
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| * ''time: no time is collected for this project
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| Go to [[VAP]] article for more information about VAP.
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| '''The site where the VAP had "first" occurred at is the site that must get the credit for where this complication had occurred.'''
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| ===B. [[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infection]]===
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| #If a patient develops a '''Complication''' of '''[[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infection]]''' while in your unit, the following entry must be made in the L_TmpV2 file:
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| #*Project: '''QAInf'''
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| #*Item: '''[[Central Line Related Blood stream Infection (CLR-BSI) | CLI]]
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| [[CLI Call Basil Evan if MICU/SICU/IICU]]''' phone:787-8794
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| #*DATE of infection (no time) is the date '''positive''' blood culture was '''sent''' to micro lab.
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| #*if '''no''' positive culture than '''not''' a CLR-BSI
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| #Patient already has a CLR-BSI present on admission to your unit:
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| #*in the admitting diagnosis field, enter Central Line Infection.
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| #*do not enter the DATE of positive culture in the Temp Studies field.
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| #*if the patient is from another ICU in the city, email the collector at that site to check if CLR_BSI was captured as a "complication" at that site.
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| '''The site where the CLR-BSI had "first" occurred at is the site that must get the credit for where this complication had occurred.'''
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| *Go to [[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infection]] article for more information about CLR-BSI.
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| [[ Category: TISS28]]
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| == Specs ==
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| ==='''ICU'''===
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| ==== Dates ====
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| * Start Date: '''Saturday August 22, 2009'''
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| * End Date: NONE - Continued project with the [[:Category: CCVSM | CCVSM]] cross Canada Collaborative--[[User:TOstryzniuk|TOstryzniuk]] 16:53, 4 October 2010 (CDT)
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| * Units Collecting: '''all ICU's''' in the Region. Exlcudes STB_CICU & CCU.
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| ==='''Medicine''' wards===
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| * part B only - The "Diagnosis" of a Central Line Infection
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| {{discussion}}
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| * I do not think Basil Evan wants to know about medicine ward CLI's but want to clarify: do we still put CLI complication in tmp file as well as in diagnostic complications for medicine?--[[User:LKolesar|LKolesar]] 14:27, 2016 November 1 (CDT)
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| ** you are right, part B makes no sense, must refer to an earlier layout of the instructions... checking w Trish. Ttenbergen 16:59, 2016 November 3 (CDT)
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| ==== Dates ====
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| * Start Date: '''Monday October 19, 2009'''
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| * End Date: NONE. Ongoing project for [[:Category: CCVSM | CCVSM]] cross Canada Collaborative.--[[User:TOstryzniuk|TOstryzniuk]] 16:51, 4 October 2010 (CDT)
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| * Units Collecting: Medicine wards: HSC, STB, VIC, GRA
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| == {{CCMDB Data Integrity Checks}} == | | == {{CCMDB Data Integrity Checks}} == |
| | * queries ''s_tmp_QA*'' |
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| [[Tmp Checker]] will check for the following: | | [[Tmp Checker]] will check for the following: |
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| uses query ''s_tmp_QAInf_LT_48_hrs_after_admit'' | | uses query ''s_tmp_QAInf_LT_48_hrs_after_admit'' |
| DtTm of QAInf entry has to be '''at least 48hrs after patient admission''' unless the inf_dttm is blank. | | DtTm of QAInf entry has to be '''at least 48hrs after patient admission''' unless the inf_dttm is blank. |
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| == Data Integrity Rules ==
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| == Send mode ==
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| Data for '''all''' patients meeting requirements for this study, including patients you are not sending this batch, will be sent to TMPV2.mdb every time complete patients are sent. This is why there multiple rows of data for same patients in TMPV2.mdb (something to keep in mind when doing a query in Access. Statistician requires this data for reporting to ICU Quality team as soon as it is available.
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| [[Category: QAInfection]]
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| [[Category: L_TmpV2 Data]]
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| [[Category: Data Use]]
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| [[Category: QA]]
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| [[Category: All Projects ICU & Medicine]]
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This article has been split into the following two to clear up instructions:
Leaving info about the cross-checks here because they are done together.
Tmp Checker will check for the following:
Dx but no tmp
If Complication Diagnosis is one of:
then
- L_TmpV2 entry with project "ICU Infection Audit" with date needed
Tmp but no dx
If "QAInf" entry is present in L_TmpV2 then
- program must be "CC"
- the corresponding diagnosis must exist
DtTm has to be min 48hrs after admission
uses query s_tmp_QAInf_LT_48_hrs_after_admit
DtTm of QAInf entry has to be at least 48hrs after patient admission unless the inf_dttm is blank.