View source for QA Infection CLI

{{LegacyContent
|explanation=was replaced by [[Central Line Related Blood stream Infection (CLR-BSI)]] as part of move to [[ICD10]]
|successor=[[Central Line Related Blood stream Infection (CLR-BSI)]]
|content=

{{Project
|ProjectActive=legacy
|ProjectProgram=CC
|ProjectRequestor=Critical Care QI Team
|ProjectCollectionStartDate=2009-08-22
|ProjectCollectionStopDate=2018-12-31
|Project={{PAGENAME}}
}}
*Anyone who has this problem and is discharged PRIOR to Jan 1.19,  code in TMP
*Anyone who has this problem and is discharged AFTER Dec 31.18, code using ICD10

The [[:Category:Critical Care QI Team | Critical Care QI Team]] is monitoring [[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infections]] in the ICUs. This project was in collaboration with [[Critical Care Vital Signs Monitoring]].

==Data Collection Instructions==
For all ICU patients:

: If a patient 
:* develops a '''Complication''' of '''[[Central Line Related Blood stream Infection (CLR-BSI) | Central Line Infection]]''' '''while in your unit'''
:* the CLR-BSI is '''newly acquired on your unit''' and '''not already reported at different unit'''
:* there is a '''positive''' culture (no positive culture, don't code)
:then 
* [[Contacting Quality Officer and Manager for VAPs and CLIs | Contact QI Officer & Local Manager]].  Use the [["generate email" button]]- include date of CLI.  
* make the following entry in tmp: 
:*Project: '''QAInf'''
:*Item: '''Central Line Infection'''
:*date_var: '''date''' (no time) '''positive''' blood culture was '''sent''' to micro lab. 

=== Don't use TMP as notes ===
Please do not enter this TMP until you have actually confirmed a DX of CLI exists. Use the [[Notes field]] on you laptop as a reminder if needed. 

=== Patient from other ICU with Central Line and possibly CLI ===
If Patient already has a CLR-BSI present on admission to your unit:
*in the admitting diagnosis field, enter Central Line Infection.
*do not enter into  Tmp project.  
*if the patient is from another ICU in the city, email the collector at that site to check if CLR_BSI '''was captured''' as a complication at that site.

==Reporting==
=== Sampling /Denominator ===
The denominator used to calculate CLBSI rate are the total patient days with central lines in the [[Central Line Tracking]] project before 2013 and the 
{{TISS w Nr | Central Venous Catheter at 2300 (TISS Item)}} from 2013 to present.

=== for which ICU do we report the CLI? ===
If the QA Infection CLI entry indicates a lab '''within 48 hours''' of arriving at a second (or more) ICU, it is reported for the previous ICU. 
If the sample is '''more than 48 hours after admission'', or ''within 48 hours of discharge from an ICU to a ward''', we report it for that ICU

*Reported in [[:Category:Reporting | Director/Manager quarterly reports]].
** Is that the [[Quarterly report]]? Ttenbergen 20:47, 2018 August 6 (CDT)
* separate report to Infection Control (Myrna Dyck), STB and Oaks.
**August 2018 stopped sending separate report for CLI and [[VAP]] for Myra Dyck, infection control.

== Cross checks ==
See [[QA Infection]]

{{Data Integrity Check List}}

== Related Articles ==
{{Related Articles}}

[[Category: QAInfection]]
[[Category: L_TmpV2 Data]]
[[Category: QA]]
[[Category: TISS28]]
[[Category: Central lines]]
}}