PACU Discharge Date (v2019A1)

Specifications Manual for Joint Commission National Quality Measures (v2019A1)

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Release Notes:
Data Element
Version 2019A1

Name:

PACU Discharge Date

Collected For:

THKR-IP-2, THKR-OP-2

Definition:

The month, day, and year the patient was discharged from the PACU following the total hip or total knee replacement.

Question:

What was the date the patient was discharged from the PACU following the total hip or total knee replacement?

Format:

Length:	10 – MM-DD-YYYY (includes dashes) or UTD
Type:	Date
Occurs:	1

Allowable Values:

MM = Month (01-12)
DD = Day (01-31)
YYYY = Year (20xx)
UTD = Unable to Determine

Notes for Abstraction:

The intent is to capture the date the patient physically left the PACU. If a patient is discharged from a PACU level of care, however, remains in the PACU, do not abstract this date. EXCEPTION: In the outpatient setting, if a patient is discharged to home from the PACU setting, use the date anesthesia cleared the patient to the next level of care as the PACU discharge date.
If multiple PACU discharge dates are documented, select the latest date.
If the PACU Discharge Date is unable to be determined from medical record documentation, select “UTD.”
The medical record must be abstracted as documented (taken at “face value”). When the date documented is obviously in error (not a valid date/format) or is outside of the parameters of care (after Discharge Date or Outpatient Departure Date) and no other documentation is found that provides this information, the abstractor should select “UTD.”
Example:
- Documentation indicates the PACU Discharge Date was 02-42-20xx. No other documentation in the medical record provides a valid date. Since the PACU Discharge Date is outside of the range listed in the Allowable Values for “Day,” it is not a valid date and the abstractor should select “UTD.”

Suggested Data Sources:

Anesthesia record
Nursing notes
Nursing flow sheet
Post Anesthesia Care Unit (PACU) Record
Recovery Room Record

Additional Notes:

Guidelines for Abstraction:

Inclusion	Exclusion
None	None

Specifications Manual for Joint Commission National Quality Measures (v2019A1)
Discharges 10-01-19 through 12-31-19 (4Q19)

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