QA Infection CLI: Difference between revisions
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*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. | ||
== Sampling /Denominator == | ==Reporting== | ||
=== Sampling /Denominator === | |||
{{discussion}} presumably this uses [[ Central Venous Catheter at 2300 (TISS Item)]]? Is this documented in a different article? | {{discussion}} presumably this uses [[ Central Venous Catheter at 2300 (TISS Item)]]? Is this documented in a different article? | ||
=== for which ICU do we report the CLI? === | |||
If a CLI develops '''within 48 hours''' of arriving at a second (or more) ICU, it is reported for the previous ICU | |||
#'''How do you determine which unit to "credit with a bloodstream infection? E.G., on May 2nd the patient is in the medical ICU; on May 3 the patient is transferred to the coronary care unit; symptoms develop on May 4th. Which unit is "credited"?''' | |||
#*''The patient is followed for 48 hours AFTER TRANSFER to another ICU. If a BSI develops within that 48 hour period, the original ICU is "credited" with the infection.'' | |||
== Dates == | == Dates == | ||
Revision as of 20:01, 2017 September 12
| Projects | |
| Active?: | active |
| Program: | CC |
| Requestor: | Critical Care QI Team |
| Collection start: | |
| Collection end: | |
The Critical Care QI Team is monitoring Central Line Infections in the ICUs. This project is in collaboration with CCVMS which is a cross Canada ICU collaborative project.
Data Collection Instructions
For all ICU patients except STB_CICU & STB_CCU:
- 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
- CLI Call Basil Evan if MICU/SICU/IICU phone:787-8794
- make the following entry in tmp:
- Project: QAInf
- Item: CLI
- 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
Template:Discussion presumably this uses Central Venous Catheter at 2300 (TISS Item)? Is this documented in a different article?
for which ICU do we report the CLI?
If a CLI develops within 48 hours of arriving at a second (or more) ICU, it is reported for the previous ICU
- How do you determine which unit to "credit with a bloodstream infection? E.G., on May 2nd the patient is in the medical ICU; on May 3 the patient is transferred to the coronary care unit; symptoms develop on May 4th. Which unit is "credited"?
- The patient is followed for 48 hours AFTER TRANSFER to another ICU. If a BSI develops within that 48 hour period, the original ICU is "credited" with the infection.
Dates
- Start Date: Saturday August 22, 2009
- End Date: NONE - Continued project with the CCVSM cross Canada Collaborative--TOstryzniuk 16:53, 4 October 2010 (CDT)
Template:CCMDB Data Integrity Checks
See QA Infection