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 with a positive blood culture who are included in the list generated by the lab (Positive Blood Culture list)that has been delivered to GF216 for Con enter the following: "Sample Drawn": date and time... "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" (shortened to "no response" in the label due to space restrictions) "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" (shortened to "not avail." in the label due to space restrictions) "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" (shortened to "no new AB" in the label due to space restrictions) multiple entries or narrative, check-box for prior

Discussion

Template:Discussion Con, what do you mean by patient who are on the LAB LIST? What are you referring to? thanks--TOstryzniuk (what is the actual name of the list?)

• "Sample Drawn": date and time...
• "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" (shortened to "no response" in the label due to space restrictions)
• "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" (shortened to "not avail." in the label due to space restrictions)
• "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" (shortened to "no new AB" in the label due to space restrictions)
  • multiple entries or narrative, check-box for prior

Special Cases

Suggested to Con to use similar to QA Septic, waiting for details before I make the data consistency checks. Ttenbergen 13:34, 24 December 2010 (CST) Template:Discussion

Site and Ward involved

This study will run at HSC only

• Control units: H4-will continue current practice for positive blood cultures. ie:pathogen enterred
• Study units: A4 and D4-all patients admitted to these wards during length of study.

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

• 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.

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)
• Answer still pending.--CMarks 15:09, 14 January 2011 (CST)