Early ID study: Difference between revisions
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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: | 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: | ||
* '''" | * '''"1Sample Drawn"''': date and time sample was drawn | ||
* '''" | * '''"2Positive Culture"''': date and time of positive culture | ||
* '''" | * '''"3Orig Antibiotic"''': date and time of original antibiotic prescription, '''actual ab needed?''' | ||
** enter name of antibiotic into the comment field | |||
** if patient was not on an antibiotic before, then check box "no orig ab" | |||
* '''"4ID Consult"''': date and time Infectious Disease Department consult '''response''' | |||
** if no response or patient leaves, deceased or AMA then check box "no response" | ** if no response or patient leaves, deceased or AMA then check box "no response" | ||
* '''" | * '''"5Order"''': date and time order written to change to appropriate antibiotic, if change is needed | ||
** enter name of antibiotic into the comment field | ** enter name of antibiotic into the comment field | ||
** if no change or patient leaves, deceased or AMA then check box "not avail." | ** if no change or patient leaves, deceased or AMA then check box "not avail." | ||
*'''" | *'''"6Antibiotic"''': date and time new antibiotic is given | ||
** enter name of antibiotic into the comment field | ** enter name of antibiotic into the comment field | ||
** if no new antibiotic is given or patient leaves, deceased or AMA then check box "no new AB" | ** if no new antibiotic is given or patient leaves, deceased or AMA then check box "no new AB" |
Revision as of 16:53, 2011 February 4
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 in TMP file
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:
- "1Sample Drawn": date and time sample was drawn
- "2Positive Culture": date and time of positive culture
- "3Orig Antibiotic": date and time of original antibiotic prescription, actual ab needed?
- enter name of antibiotic into the comment field
- if patient was not on an antibiotic before, then check box "no orig ab"
- "4ID Consult": date and time Infectious Disease Department consult response
- if no response or patient leaves, deceased or AMA then check box "no response"
- "5Order": date and time order written to change to appropriate antibiotic, if change is needed
- enter name of antibiotic into the comment field
- if no change or patient leaves, deceased or AMA then check box "not avail."
- "6Antibiotic": date and time new antibiotic is given
- enter name of antibiotic into the comment field
- if no new antibiotic is given or patient leaves, deceased or AMA then check box "no new AB"
- enter another "Antibiotic" record if switching to another antibiotic later
Special Cases
Suggested to Con to use similar to QA Septic Ttenbergen 13:34, 24 December 2010 (CST)
Study Run Times
- Approved by Dr Roberts: January 2010
- Start date "January 31, 2011" --CMarks
- Review Date: 30 days after start date. Week of March 7.11.--CMarks 15:10, 21 January 2011 (CST)
- Preliminary End Date: 1 month to 3 months after start date
Project team
- Primary contact for Data Collection: Con Marks R.N.
- Project lead and main contact for project
- 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
- I am unsure what you mean Tina.--CMarks 15:06, 21 January 2011 (CST)
- 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)
Sending to TmpV2.mdb
Data will be sent only for the completed patient data files as is normally done on Wednesdays.--CMarks 14:22, 20 January 2011 (CST)
Statistician
The following data needs to be reported back to Dr. Embil, pending review at the review date above:
- Early ID Study data from TMPV2,Initials, ward location chart number, LOS, admit date, discharge date,and complications & comorbid conditions.
- In 1 month - the above raw data to be sent to Dr. Embil (in Excel would be fine). Julie will pull needed elements from ccmdb, database and TMPV2 and sent to Dr. Embil. This would be the end of the first week of March. The information will analyzed by Dr. Embil and team.
- Dr. Embil may asks Julie later in the project if it is continued do some minor analysis.