QA Infection

Purpose

Kendiss Olafson & the QA team are monitoring Central Line Infections and VAPs in the ICUs.

Specs

• Start Date: Saturday August 22, 2009
• End Date / Duration: 1 year, then evaluate.TOstryzniuk 12:00, 20 August 2009 (CDT)
• Units Collecting: all ICU's except STB_CCU & STB_CICU

Data Collection Method

If an ICU patient has a Complication of VAP, the following entry must be made in the L_TmpV2 file:

• Project: QAInf
• Item: VAP Infection
• Infx Dt: Date of infection (no time)

If an ICU patient has a Complication of Central Line Infection, the following entry must be made in the L_TmpV2 file:

• Project: QAInf
• Item: Central Line Infection
• Infx Dt: Date of infection (no time)

Consistency Checks

Tmp Checker will check for the following:

Dx but no tmp

If Complication Diagnosis is one of:

• Central line infection (code 86)
• VAP (code 39)

then

• L_TmpV2 entry with project "ICU Infection Audit" with date needed

Tmp but no dx

If "QAInf" entry is present in L_Tmp then

• program must be "CC"
• the corresponding diagnosis must exist

Dx with wrong tmp

The item' in QAInf there must exist a corresponding diagnosis

Discussion

• date not required if 86 or 39 is in ADMIT Diagnosis. (Trish said, I suspect)
  • The collection instructions say nothing about collecting tmp data at all for admit diagnoses. If we are collecting this to report on infections occurring in our units, then admit dxs would be irrelevant, no? Ttenbergen 11:35, 27 August 2009 (CDT)

Send mode

Data for a patient will be sent each week patient files are sent in.TOstryzniuk 18:02, 24 August 2009 (CDT)

Possible expansion to Medicine Wards

We might start to collect Central Line Infections in Medicine as well pending input from Dr. Roberts.