QA Septic Shock
Kendiss Olafson & the QA team are monitoring performance and appropriate interventions for Septic Shock in the ICUs in the Winnipeg Region.
Data Collection Method
For the first episode of Septic Shock (admit or complication) of any ICU patient, the following two entries must be made in the TMP, L_TmpV2 file.
First SBP<90
- Project: QASeptic
- Item: First SBP<90
- 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 transfered from previous ICU with DX of shock already coded; in that case don't code date/time
Special Cases
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 transfered 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
- Date and Time: Date/Time of first antibiotic given to treat sepsis
- Comment:
- note reason if an antibiotic was not given
- state if non-standard source of information was used
Special Cases
Antibiotic may be given prior to the development of shock or after.
If the person then goes into septic shock and the antibiotics are not changed the time is that of original antibiotic coverage.
If the antibiotics are changed in response to the new shock state then the time of Antibiotics is the date/time that the new antibiotics were given.
If the patient does not receive Antibiotics (e.g. DC treatment) provide a reason in the comment section of the "First Antibiotic" entry.
Use your best judgment in entering this. If you are using non-standard sources such as the in/out sheet, note so in the comment field.
If the patient was already on a likely unrelated antibiotic and they develop new sepsis/infection, the antibiotic date should be left blank and in the comment section state patient already on antibiotic and there were no antibiotic changes made.
Study Run Times
Start date: October 8, 2009
Every qualifying patient sent after this date will need to have a temp entry, not only patients admitted after this date.
Review Date
Feb 2,2010
- Data is showing some good trends for ICU's in the Region. Dr. Kendiss Olafson from the ICU QI team will present at the data collection team meeting in April 2010.--TOstryzniuk 16:30, 2 February 2010 (CST)--TOstryzniuk 16:30, 2 February 2010 (CST)
May 4 ,2010 from 1100-1200 hrs
- meeting request sent out Feb 2.10 by TOstryzniuk 22:21, 2 February 2010 (CST)
End Date
- Preliminary End Date: December 31.2010---TOstryzniuk 17:04, 8 February 2010 (CST)(extended from April 8.10)
- (set in ccmdb.mdb consistency checks)See: | See:change request log
Consistency Checks
Tmp Checker will check for the following:
Date or Comment
Every entry for project QA Septic must have either a date or a time.
Dx but no tmp
L_TmpV2 entry is required if:
- a DX of Septic shock exists
- program is "CC"
(implemented by s_tmp_QASeptic_Dx_no_tmp)
Tmp but no dx
A diagnosis must exist if:
- a "QASeptic" entry is present in L_TmpV2
- program must be "CC"
- implemented by: S tmp QASeptic Dx no tmp
Send mode
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.