QA Infection CLI

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.

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.

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.

Template:Discussion presumably this uses Central Venous Catheter at 2300 (TISS Item)? Is this documented in a different article?

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.

Start Date: Saturday August 22, 2009
End Date: NONE - Continued project with the CCVSM cross Canada Collaborative--TOstryzniuk 16:53, 4 October 2010 (CDT)