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Specifications Manual for Joint Commission National Quality Measures (v2015A)
Home » Initial Blood Culture Collection Date

Release Notes:
Data Element
Version 2015A

Data Element Name: Initial Blood Culture Collection Date
Collected For: PN-3a,
Definition:The month, day, and year the initial documentation of a blood culture was collected within 24 hours after hospital arrival. A blood culture can be defined as a culture of microorganisms from specimens of blood to determine the presence and nature of bacteremia.
Suggested Data Collection Question:What is the date of the initial documentation of a blood culture collected within 24 hours after hospital arrival?

Format:
Length:10 – MM-DD-YYYY (includes dashes) or UTD
Type:Date
Occurs:1
Allowable Values:

MM = Month (01-12)
DD = Day (01-31)
YYYY = Year (20xx)
UTD = Unable to Determine

Notes for Abstraction:
  • If the blood culture collection date is unable to be determined from medical record documentation, select "“UTD.”"
  • The medical record must be abstracted as documented (taken at “"face value"”). When the date documented is obviously in error (not a valid date/format or outside of the parameters of care [after Discharge Date ] and no other documentation is found that provides this information, the abstractor should select "“UTD."”
    Examples:
    • Documentation indicates the Initial Blood Culture Collection Date was 02-42-20xx. No other documentation in the medical record provides a valid date. Since the Initial Blood Culture Collection Date is outside of the range listed in the Allowable Values for "“Day,"” it is not a valid date and the abstractor should select "“UTD."”
    • Patient expires on 02-12-20xx and documentation indicates the Initial Blood Culture Collection Date was 03-12-20xx. Other documentation in the medical record supports the date of death as being accurate. Since the Initial Blood Culture Collection Date is after the Discharge Date, it is outside of the parameter of care and the abstractor should select “"UTD."”
      Note: Transmission of a case with an invalid date as described above will be rejected from the QIO Clinical Warehouse and the Joint Commission’'s Data Warehouse. Use of "“UTD”" for Initial Blood Culture Collection Date allows the case to be accepted into the warehouse.
  • If a blood culture is ordered and there is an attempt to collect it but the attempt results in failure to collect the specimen (too dehydrated to get a vein) or the specimen was contaminated during or after the draw, enter the date of the attempted blood culture collection.
  • Only collect dates for blood cultures within 24 hours after hospital arrival.
  • If there is supportive documentation that a blood culture was collected and it is the earliest mention of a blood culture, this date and time can be used, e.g., “"BC sent to lab,"” "“blood culture received time."”
  • Do not use physician orders as they do not demonstrate collection of the blood culture.
  • Documentation must specify blood culture.
    Example:
    "“lab was at bedside -–blood drawn”" (does not demonstrate blood culture).
Suggested Data Sources:

  • Emergency department record
  • History and physical
  • Laboratory report
  • Nursing notes
  • Progress notes
  • Microbiology report
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • BC within 24 hours after hospital arrival
  • Blood cultures within 24 hours after hospital arrival

  • Cultures collected prior to arrival

Initial Blood Culture Collection Date
Specifications Manual for Joint Commission National Quality Measures (v2015A)
Discharges 01-01-15 (1Q15) through 09-30-15 (3Q15)
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