Central Line Associated Blood-Stream Infection (CLA-BSI) rate: Difference between revisions
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Used in aggregate form as "per location" and/or "per timeframe", e.g. by month/quarter/year x Ward/Unit x Hospital | |||
===QI domain=== | ===QI domain=== | ||
*[[QualityDomain::Safe]] | *[[QualityDomain::Safe]] | ||
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==Sampling Plan / Procedure== | ==Sampling Plan / Procedure== | ||
*100% for all patients with one or more | *100% for all patients with one or more [[Central Line]]s (CL) as indicated by the presence of {{TISS w Nr | Central Venous Catheter at 2300 (TISS Item)}} | ||
{{ | ** Starting Oct 1, 2020, the {{TISS w Nr | Central Venous Catheter at 2300 (TISS Item)}} is no longer collected . The presence of CVC at 2300 hour is imputed or assigned by inference using this method - if patient is present at 23HR and the {{TISS w Nr | Central venous catheter (TISS Item)}} is marked, then the patient is assumed to have CVC at 2300 hour. | ||
** See [[Central Line]] for a definition. | |||
** | |||
*100% sampling for all cases with CLA-BSI incidence following the criteria listed in [[Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI) | CLA-BSI]] | *100% sampling for all cases with CLA-BSI incidence following the criteria listed in [[Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI) | CLA-BSI]] | ||
=== | ===Definition=== | ||
The definition follows the definition [[Central Line]]. | |||
===Frequency=== | ===Frequency=== | ||
* Recording the date the [[Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI)| CLA-BSI]] occurred. | * Recording the date the [[Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI)| CLA-BSI]] occurred. | ||
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===Denominator=== | ===Denominator=== | ||
Total Number of Central Line days at 2300 HR of a reporting period | Total Number of Central Line days at 2300 HR of a reporting period | ||
===Formula=== | |||
CLA_BSI Rate Rate = Num / Denom * 1000 | |||
==Data Sources== | ==Data Sources== | ||
* Starting 2019, CLA-BSI is part of the ICD10 collection with code T82.70 [[Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI)]] under the Acquired Diagnosis / Complication. The date is the [[Dx Date]] of the [[Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI)]] diagnosis. | * CLA_BSI | ||
** | ** Starting Jan 2019, CLA-BSI is part of the ICD10 collection with code T82.70 [[Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI)]] under the Acquired Diagnosis / Complication. The date is the [[Dx Date]] of the [[Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI)]] diagnosis. | ||
* Central Line (CVC) days are taken from TISS28 item#46 [[Central Venous Catheter at 2300 (TISS Item)]] | ** Aug 2009 to Dec 2018, the dates when CLA-BSI occurred were taken from the Tmp project [[QA Infection]]. | ||
* Central Line (CVC) days | |||
** Starting Oct 2020, Central Line (CVC) days are taken at [[CCI Collection Mode]] [[CCI collect each day]] | |||
** Jan 2013 to Sept 2020 Central Line (CVC) days are taken from TISS28 item#46 [[Central Venous Catheter at 2300 (TISS Item)]] | |||
** Apr 2008 to Dec 2012 Central Line (CVC) days are collected by CRN and data are saved at S:\MED\MED_CCMED\CCMDB_Special_Projects\Central_Line_Infections_ETube\DATA_ENTRY_LineCounts_ETube | |||
==SAS Program== | ==SAS Program== | ||
* The SAS program to get the CLA_BSI is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas | * The SAS program to get the CLA_BSI is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas | ||
* The SAS program to get the Central Line | * The SAS program to get the Central line Days is X:\Julie\SAS_CFE\CFE_macros\Read_TISS76_TISS28_TISSinCCI.sas | ||
** macro '''%tisscci23hr''' shows the generation of Central Line (CVC) present at 23 HR | |||
* The SAS program to get the CLA_BSI rate is X:\Julie\SAS_CFE\CFE_macros\VAPCLICAM.sas | |||
==Report Users== | ==Report Users== |
Latest revision as of 18:26, 2022 January 7
CLA-BSI defined using CDC case definition.
Indicators | |
Indicator: | Central Line Associated Blood-Stream Infection (CLA-BSI) rate |
Created/Raw: | Created |
Program: | Critical Care |
Start Date: | |
End Date: | |
Reports: | Directors Quarterly and Annual Report (Critical Care), STB ICUs VAP Rate, CLIBSI Rate Summary, WRHA ICU Hospital-Acquired Conditions |
Used in aggregate form as "per location" and/or "per timeframe", e.g. by month/quarter/year x Ward/Unit x Hospital
QI domain
- Safe
Significance
CLA-BSIs increase morbidity, mortality and costs. It can be prevented using evidence-based interventions. This measure can be used to detect changes related to implementation or lack of adherence to these best practices.
Sampling Plan / Procedure
- 100% for all patients with one or more Central Lines (CL) as indicated by the presence of T - Central Venous Catheter at 2300 (TISS Item)
- Starting Oct 1, 2020, the T - Central Venous Catheter at 2300 (TISS Item) is no longer collected . The presence of CVC at 2300 hour is imputed or assigned by inference using this method - if patient is present at 23HR and the T17 - Central venous catheter (TISS Item) is marked, then the patient is assumed to have CVC at 2300 hour.
- See Central Line for a definition.
- 100% sampling for all cases with CLA-BSI incidence following the criteria listed in CLA-BSI
Definition
The definition follows the definition Central Line.
Frequency
- Recording the date the CLA-BSI occurred.
- Daily recording of dates patients have CL or CVC
- Total number of Central Line days are calculated and reported on a monthly, quarterly or yearly basis based on the daily data.
- Time Reference is calendar month, quarter or year.
Definition and Derivation
CLA-BSI per 1000 Central line days.
Numerator
Number of CLA-BSI incidence during the ICU stay of a reporting period
Denominator
Total Number of Central Line days at 2300 HR of a reporting period
Formula
CLA_BSI Rate Rate = Num / Denom * 1000
Data Sources
- CLA_BSI
- Starting Jan 2019, CLA-BSI is part of the ICD10 collection with code T82.70 Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI) under the Acquired Diagnosis / Complication. The date is the Dx Date of the Iatrogenic, infection, central venous catheter-related bloodstream infection (CVC-BSI, CLI) diagnosis.
- Aug 2009 to Dec 2018, the dates when CLA-BSI occurred were taken from the Tmp project QA Infection.
- Central Line (CVC) days
- Starting Oct 2020, Central Line (CVC) days are taken at CCI Collection Mode CCI collect each day
- Jan 2013 to Sept 2020 Central Line (CVC) days are taken from TISS28 item#46 Central Venous Catheter at 2300 (TISS Item)
- Apr 2008 to Dec 2012 Central Line (CVC) days are collected by CRN and data are saved at S:\MED\MED_CCMED\CCMDB_Special_Projects\Central_Line_Infections_ETube\DATA_ENTRY_LineCounts_ETube
SAS Program
- The SAS program to get the CLA_BSI is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas
- The SAS program to get the Central line Days is X:\Julie\SAS_CFE\CFE_macros\Read_TISS76_TISS28_TISSinCCI.sas
- macro %tisscci23hr shows the generation of Central Line (CVC) present at 23 HR
- The SAS program to get the CLA_BSI rate is X:\Julie\SAS_CFE\CFE_macros\VAPCLICAM.sas
Report Users
- Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee
- St Boniface Cardiac Sciences Program (STB site only)
- HSC Infection Prevention & Control (HSC site only)
- WRHA Infection Prevention & Control
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