Specifications Manual for Joint Commission National Quality Measures (v2018A)
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Release Notes:
Data Element
Version 2018A

Data Element Name: Skin Puncture
Collected For: CSTK-09, CSTK-12
Definition:Puncture of the skin with a needle or introducer to provide an entry site for arterial access. Arterial access (e.g., brachial, carotid, femoral, radial) is needed for endovascular treatment of a cerebral artery occlusion with a device (e.g., stent-retriever) and/or intra-arterial thrombolysis (t-PA).
Suggested Data Collection Question:Is there documentation of skin puncture at this hospital to access the arterial site selected for endovascular treatment of a cerebral artery occlusion?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y (Yes) There is documentation of skin puncture at this hospital to access the arterial site selected for endovascular treatment of a cerebral artery occlusion.

N (No) There is no documentation of skin puncture at this hospital to access the arterial site selected for endovascular treatment of a cerebral artery occlusion, OR unable to determine from medical record documentation.
Notes for Abstraction:
  • If skin puncture was done at this hospital and documented in the medical record, select "Yes".
  • If skin puncture was not done at this hospital, select "No".
  • If skin puncture at this hospital is not documented or unable to determine from medical record documentation, select "No".
Suggested Data Sources:

  • Consultation notes
  • Diagnostic test reports
  • Operative notes
  • Operative report
  • Procedure notes

*Procedure report
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
Arterial access None

Skin Puncture
Specifications Manual for Joint Commission National Quality Measures (v2018A)
Discharges 07-01-18 (3Q18) through 12-31-18 (4Q18)
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