IV OR IA Thrombolytic (t-PA) Therapy Administered at This Hospital or Within 24 Hours Prior to Arrival

Specifications Manual for Joint Commission National Quality Measures (v2016B1)

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Release Notes:
Data Element
Version 2016B1

Data Element Name:

IV OR IA Thrombolytic (t-PA) Therapy Administered at This Hospital or Within 24 Hours Prior to Arrival

Collected For:

STK-5,

Definition:

There is documentation in the record that the patient received intravenous (IV) or intra-arterial (IA) thrombolytic therapy (t-PA) at this hospital or within 24 hours prior to arrival. Antithrombotic administration within 24 hours of thrombolytic therapy (t-PA) is contraindicated.

Suggested Data Collection Question:

Did the patient receive IV or IA thrombolytic (t-PA) therapy at this hospital or within 24 hours prior to arrival?

Format:

Length:	1
Type:	Alphanumeric
Occurs:	1

Allowable Values:

Y (Yes) Patient received IV or IA thrombolytic (t-PA) therapy at this hospital or within 24 hours prior to arrival.

N (No) Patient did not receive IV or IA (t-PA) thrombolytic therapy at this hospital or within 24 hours prior to arrival, OR unable to determine from medical record documentation.

Notes for Abstraction:

Documentation in the medical record must reflect that the patient received IV or IA thrombolytic (t-PA) therapy at this hospital or within 24 hours prior to arrival (i.e., drip and ship).
If there is documentation that the patient received IV or IA thrombolytic (t-PA) therapy and mechanical thrombectomy at this hospital or within 24 hours prior to arrival, select “Yes”.
If there is documentation that the patient received mechanical thrombectomy only with no IV or IA thrombolytic (t-PA) given, select “No”.

Suggested Data Sources:

Emergency department record
Progress notes
Transfer sheet
Medication records
Medical transport records

Additional Notes:

Guidelines for Abstraction:

Inclusion

Exclusion

Only Acceptable Thrombolytic Therapy for Stroke:

Activase
Alteplase
Intra-arterial (IA) t-PA
IV t-PA
Recombinant t-PA Tissue plasminogen activator

Heparin Flush
Heparin Lock
Thrombolytic administration to flush, open, or maintain patency of a central line, e.g., PICC line.

IV OR IA Thrombolytic (t-PA) Therapy Administered at This Hospital or Within 24 Hours Prior to Arrival

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