QA Septic Shock
|Requestor:||Dr. Kendiss Olafson|
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- Explanation: Tmp project ended
- Successor: No successor was entered
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see #Study Run Times for details.
Data Collection Method
- Project: QASeptic
- Item: BP Criteria
- Date and Time: that the blood pressure (BP) criteria is met for the first time as per Septic Shock Blood Pressure Guideline guideline
- Comment: only in case of transfer from other ICU, enter transferred from previous ICU with DX of shock already coded; in that case don't code date/time
BP prior to admission
First low BP may be prior to ICU admission.
If a patient with existing septic shock is transferred from one ICU to another, for next ICU transferred into, code Item: First BP <90 with no date/time and enter transferred from previous ICU with DX of shock already coded as the COMMENT.
First NEW Antibiotic
The time of antibiotics is the date and time antibiotics are given for sepsis.
- Project: QASeptic
- Item: First Antibiotic
- includes all antimicrobials, not just antibiotics
- if causative agent turns out insensitive to that antimicrobial, still enter it; this study is concerned with the delays in treatment, not the use of the correct drug
- Date and Time: Date/Time of first antibiotic given to treat sepsis
- note reason if an antibiotic was not given
- state if non-standard source of information was used
Use your judgment to determine the first antibiotic likely administered to treat septic shock.
If a patient was on antibiotics prior to meeting the conditions for shock, then:
- if the antibiotic is not changed after going into shock, use the date/time of the last antibiotic administered prior to onset of shock;
- if the antibiotic is changed and administered shortly before or after going into shock then use your judgment to determine the following:
- if the antibiotic change was likely related to the imminent septic shock, record the date/time that new antibiotic was administered as the start dt/tm; you can state your reason in the comments field.
- if the antibiotic change was likely unrelated to septic shock, code the date and time of the first administered antibiotic change AFTER or the most recent change BEFORE (again, use your judgment)
If you are using non-standard data sources such as the in/out sheet, note so in the comment field.
If the patient does not receive Antibiotics (e.g. DC treatment) don't enter a date but provide a reason in the comment section of the "First Antibiotic" entry.
Study Run Times
Third wave - Start Date: March 6, 2017 00:01 / End Date: June 30, 2017 23:59
Any patient who is discharged between the above dates and has a DX of septic shock needs to have a QASeptic Tmp entry.
- Tmp entry is not required for those patients admited during the study time but discharged after June 30 23:59 (confirmed with Julie)GHall 10:34, 2017 July 6 (CDT)
- The ICU QI team has requested an updated review.
Second wave - Start Date: April 1, 2012 / End Date: June 30, 2012
Three month data collection for the Septic Shock Study. A review of the current data has been completed by the statistician and the ICU QI on June 12.12.
- RE: stop date: Patients ADMITTED up to midnight June 30th will continue to be entered and followed for QASeptic Study until they are discharged from the ICU.
- Any new patients ADMITTED on July 1st 0001 hrs will not be entered into the QASeptic Study.--Trish Ostryzniuk 16:05, 2012 June 13 (CDT).
First wave - Start Date: October 8, 2009 / End Date: July 1, 2011
Every qualifying patient sent after this date will need to have a temp entry, not only patients admitted after this date.
- Review Date - done Feb 2,2010
- Stop for all patient, that include those already in unit prior to July 1 who develop septic shock after July 1
- we will attempt to resume in fall time "after" Education blitz completed by ICU QA team.--TOstryzniuk 14:42, 27 June 2011 (CDT)
Date or Comment
Every entry for project QA Septic must have either a date or a time.
If we ever pick this back up we need to answer: Is "Every entry for project QA Septic must have either a date or a time." a request for a cross check? or does that check exist already?
Data Integrity Checks (SMW)
|Query s tmp QASeptic tmp no dx||CCMDB.accdb||implemented|
|Query s tmp QASeptic Dx no tmp ICD10||CCMDB.accdb||implemented|
|Query s tmp apostrophe in comment||CCMDB.accdb||implemented|
Data for all patients meeting requirements for this study, including patients you are not sending this batch, will be sent every time complete patients are sent.