ALERT! Warning: your browser isn't supported. Please install a modern one, like Firefox, Opera, Safari, Chrome or the latest Internet Explorer. Thank you!
Specifications Manual for Joint Commission National Quality Measures (v2016B1)
Home » Reason for Not Administering a Procoagulant Reversal Agent

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)
^