QA Infection CLI: Difference between revisions

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=== for which ICU do we report the CLI? ===
=== 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
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.
#'''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"?''
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
#*''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 20:07, 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
  • 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 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

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