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 |
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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.
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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”.
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Suggested Data Sources: |
- Emergency department record
- Progress notes
- Transfer sheet
- Medication records
- Medical transport records
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Additional Notes: |
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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
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- Heparin Flush
- Heparin Lock
- Thrombolytic administration to flush, open, or maintain patency of a central line, e.g., PICC line.
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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)
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