QA Infection CLI: Difference between revisions

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{{Project
{{LegacyContent
| Project = {{PAGENAME}}
|explanation=was replaced by [[Central Line Related Blood stream Infection (CLR-BSI)]] as part of move to [[ICD10]]
| ProjectActive = active
|successor=[[Central Line Related Blood stream Infection (CLR-BSI)]]
| ProjectProgram = CC
|content=
| ProjectRequestor = Critical Care QI Team
}}


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 is in collaboration with [[:Category: CCVSM | CCVMS]] which is a cross Canada ICU collaborative project.
{{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==
==Data Collection Instructions==
For all ICU patients except STB_CICU & CCU:
For all ICU patients:


: If a patient  
: If a patient  
Line 16: Line 25:
:* there is a '''positive''' culture (no positive culture, don't code)
:* there is a '''positive''' culture (no positive culture, don't code)
:then  
:then  
* [[CLI Call Basil Evan if MICU/SICU/IICU]]''' phone:787-8794
* [[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:  
* make the following entry in tmp:  
:*Project: '''QAInf'''
:*Project: '''QAInf'''
:*Item: '''[[Central Line Related Blood stream Infection (CLR-BSI) | CLI]]
:*Item: '''Central Line Infection'''
:*date_var: '''date''' (no time) '''positive''' blood culture was '''sent''' to micro lab.  
:*date_var: '''date''' (no time) '''positive''' blood culture was '''sent''' to micro lab.  


Line 31: Line 40:
*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.
*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.


==== Dates ====
==Reporting==
* Start Date: '''Saturday August 22, 2009'''
=== Sampling /Denominator ===
* End Date: NONE - Continued project with the [[:Category: CCVSM | CCVSM]] cross Canada Collaborative--[[User:TOstryzniuk|TOstryzniuk]] 16:53, 4 October 2010 (CDT)
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.


== Sampling /Denominator ==
=== for which ICU do we report the CLI? ===
{{discussion}} presumably this uses [[Central Venous Catheter (TISS Item)]]? Is this documented in a different article?
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


== {{CCMDB Data Integrity Checks}} ==
*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]]
See [[QA Infection]]


{{Data Integrity Check List}}
== Related Articles ==
{{Related Articles}}


[[Category: QAInfection]]
[[Category: QAInfection]]
[[Category: L_TmpV2 Data]]
[[Category: L_TmpV2 Data]]
[[Category: QA]]
[[Category: QA]]
[[Category: All Projects ICU only]]
[[Category: TISS28]]
[[Category: TISS28]]
[[Category: Central lines]]
[[Category: Central lines]]
}}

Revision as of 16:25, 2021 June 15

Legacy Content

This page contains Legacy Content.

Click Expand to show legacy content.

Projects
Active?: legacy
Program: CC
Requestor: Critical Care QI Team
Collection start: 2009-08-22
Collection end: 2018-12-31
  • 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 Critical Care QI Team is monitoring 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 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
  • 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 T - 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 Director/Manager quarterly reports.
  • 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 Checks (automatic list)

 AppStatus
Query s tmp QAInf basicCCMDB.accdbretired
Query s tmp QAInf dx no tmpCCMDB.accdbretired
Query s tmp QAInf tmp no dxCCMDB.accdbretired
Query s tmp QAInf LT 48 hrs after admitCCMDB.accdbretired
Query NDC CLI unacceptable dateCentralized data front end.accdbretired

Related Articles

Related articles: