Early ID study

Purpose

To find out if early notification and involvement by Infectious Disease of positive blood cultures will have an impact on improving patient outcome.

Collection Instructions

The lab will send a list of all patients with positive cultures to Con (GF216). For all patients on this list who are on the study wards (A4 and D4) or the control group wards (H4, H4H, H7 contingency beds), enter:

• "Sample Drawn": date and time sample was drawn
• "Positive Culture": date and time of positive culture
• "ID Consult": date and time Infectious Disease Department consult response
  • if no response or patient leaves, deceased or AMA then check box "no response"
• "Order": date and time order written to change to appropriate antibiotic, if change is needed
  • if no change or patient leaves, deceased or AMA then check box "not avail."

Template:Discussion do they want to know the actual antibiotics or will they get that from elsewhere? Ttenbergen 14:01, 20 January 2011 (CST)

• • • Yes they would like the name/s of antibiotic/s used.--CMarks 14:12, 20 January 2011 (CST)
• "Orig Antibiotic": date and time of original antibiotic prescription, actual ab neeeded?
  • • Yes please include name/s of original antibiotic/s.--CMarks 14:12, 20 January 2011 (CST)
  • if patient was not on an antibiotic before, then check box "no orig ab"
• "Antibiotic": date and time new antibiotic is given, actual ab neeeded?
  • yes.--CMarks 14:12, 20 January 2011 (CST)
  • if no new antibiotic is given or patient leaves, deceased or AMA then check box "no new AB"
  • enter another "Antibiotic" line if switching to another antibiotic later

Special Cases

Suggested to Con to use similar to QA Septic Ttenbergen 13:34, 24 December 2010 (CST) Template:Discussion

Study Run Times

• Approved by Dr Roberts: January 2010
  • Tentative start date "January 31, 2011" --CMarks 16:05, 17 January 2011 (CST)
• Review Date: 30 days after start date
• Preliminary End Date: 1 month to 3 months after start date

Lead

• contact for project at the data collection end:
  • Con Marks
• lead contact for this project at the requestor's end:
  • Dr. John Embil Director, Infection Diseases Program.
  • Terry Wuerz - resident physician

Consistency Checks

Tmp Checker will check for the following:

• dates will need to be consistent with admit/discharge; waiting to hear back what rules will be for pts who leave.Ttenbergen 13:24, 24 December 2010 (CST) Template:Discussion
• If "Positive Culture" entry is present for a patient, then there will have to be either a date or a checkbox for the other entries.
  • If patient discharged and blood culture result not back before this, follow the 5 day rule to see if culture is positive before sending as a completed data file.--CMarks 14:17, 20 January 2011 (CST)

Send mode

Will data be sent for every patient at every send.

Statistician

• What data will the statistician need to provide? Template:Discussion
• Con, sorry, I must not have saved the change here... do you have the fields? I think it were: Template:Discussion
  • Study data, LOS, admit and complication dxs, comorbids Ttenbergen 14:01, 20 January 2011 (CST)
    • Your list is complete for now. Thirty days after the start of the study Dr Embil will review how things are doing and assess if changes are required.--CMarks 14:21, 20 January 2011 (CST)