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

For all patients who are on the lab list Template:Discussion (what is the actual name of the list?) for the study wards:

• "Positive Culture": date and time of positive culture, for all patients in study
• "ID Consult": date and time Infectious Disease Department consult response; if no response or patient leaves, deceased or AMA then check box "no consult 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 available"
• "Antibiotic": date and time new antibiotic is given; if no new antibiotic is given or patient leaves, deceased or AMA then check box "no new antibiotic"

Site and Ward involved

This study will run at HSC only

• Control units: H4
• Study units: A4 and D4

Study Run Times

• Approved by Dr Roberts: January 2010
• Start date: January 17,2011
• Review Date: 30 days after start date
• Preliminary End Date: 1 month to 3 months after start date

Lead

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

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 three entries.

Send mode

Will data be sent for every patient at every send.

Data Collection Method

Met with Con to discuss, need to start programming.

Template:Discussion Con mentioned that only parts of D4 would be involved, if so we need details. Ttenbergen 10:49, 1 December 2010 (CST) Template:Discussion This article said: "H4 will not change method of collection of data." If the object of study is how patients fare then we will likely want to give H4 collectors the info of patients with IDs. If we expect collectors to identify this then we risk studying how well collectors identify this rather than how well patients fare, i.e. we risk missing patients with IDs on the control ward. Please clarify. Ttenbergen 10:49, 1 December 2010 (CST)

• I spoke to Dr Embil today. D4 will be collecting data on all positive blood culture patients admitted to their ward (the same as A4).--CMarks 16:30, 22 December 2010 (CST)

Statistician

• What data will the statistician need to provide? Template:Discussion
  • E-mail sent to Dr Embil Dec 22/10 and also to Julie Mojorica Dec 23/10--CMarks 13:35, 23 December 2010 (CST)