Performance Measurement Network

Question: Thrombolytic contraindication in 3 hour window

How should cases be handled when a patient does not receive t-PA within the 3 hour window due to a documented contraindication (i.e. BP not within treatment range); however, t-PA is administered later within the 4.5 hour window after BP controlled?


For purposes of reporting STK-4 measure rates to The Joint Commission, select 'No' for "IV Thrombolytic Initiation" and 'Yes' for "Reason for Not Initiating IV Thrombolytic" when a reason, such as BP control, existed within the 3 hr. timeframe. The reason preceeded IV thrombolytic initation beyond 3 hrs; therefore, the case should be excluded. A note for abstraction to this effect has been added to Version 3.3 of the specifications manual.

STK-4 uses the 3 hour timeframe. No other timeframes for t-PA administration are collected by The Joint Commission at ths time.

Question Details
Focus area(s): Measure Algorithms – Technical (chart abstracted)
Related documents: STK-04,

Copyright © by the contributing authors. All material on this collaboration platform is the property of the contributing authors.
Ideas, requests, problems regarding Performance Measurement Network? Send feedback
This website is using cookies. More info. That's Fine