Performance Measurement Network

Question: STK-4 IV Thrombolytic Therapy

If a patient qualified for t-PA infusion, but after the bolus injection he experienced worsening vision and further t-PA was stopped, would this be considered administration of t-PA? The patient was never given the actual infusion. He did receive the bolus.

Answer:

Select "Yes" for IV Thrombolytic Administered. This data element applies only to patients for whom IV thrombolytic was initiated at this hospital within 3 hrs. of Time Last Known Well. IV thrombolytic initiation time refers to the time the thrombolytic bolus / infusion was started.

Question Details
Focus area(s): Chart Abstracted Measure Specifications – Clinical, Related Manual - Data Quality Manual
Related documents: STK, thrombolytic therapy administered
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