Reason for Not Administering a Procoagulant Reversal Agent

Specifications Manual for Joint Commission National Quality Measures (v2016B1)

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Release Notes:
Data Element
Version 2016B1

Data Element Name:

Reason for Not Administering a Procoagulant Reversal Agent

Collected For:

CSTK-04,

Definition:

Reason for not administering a procoagulant reversal agent.

Adverse reaction to a procoagulant reversal agent
Other reasons documented by physician/advanced practice nurse/physician assistant (physician/APN/PA) or pharmacist.

Procoagulant reversal agents are medications that increase coagulation factors to promote clotting.

Suggested Data Collection Question:

Is there documentation by a physician/APN/PA or pharmacist in the medical record of a reason for not administering a procoagulant reversal agent?

Format:

Length:	1
Type:	Alphanumeric
Occurs:	1

Allowable Values:

Y (Yes) There is documentation of a reason for not administering a procoagulant reversal agent.

N (No) There is no documentation of a reason for not administering a procoagulant reversal agent OR unable to determine from medical record documentation.

Notes for Abstraction:

Reasons for not administering a procoagulant reversal agent must be documented by the physician/APN/PA or pharmacist.
If reasons are not mentioned in the context of a procoagulant reversal agent, do not make inferences (e.g., do not assume that a procoagulant reversal agent was not administered because of an adverse reaction to a procoagulant reversal agent unless documentation explicitly states so.)
- Reasons must be explicitly documented (e.g., “Allergic to cow milk. Do not give NovoSeven.
When conflicting information is documented in the medical record, select “Yes”.

Suggested Data Sources:

Consultation notes
Emergency department record
History and physical
Progress notes
Discharge summary

Additional Notes:

Guidelines for Abstraction:

Inclusion	Exclusion
Patient/family refusal	None

Reason for Not Administering a Procoagulant Reversal Agent

Specifications Manual for Joint Commission National Quality Measures (v2016B1)
Discharges 01-01-17 (1Q17) through 06-30-17 (2Q17)