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Release Notes:
Data Element
Version 2010A1

Data Element Name: Beta-Blocker Perioperative
Collected For: SCIP-Card-2,
Definition:Beta-blocker was received during the perioperative period. Beta-blockers are agents which block beta-adrenergic receptors, thereby decreasing the rate and force of heart contractions, and reducing blood pressure. Beta-blockers given perioperatively reduce the risk of cardiovascular complications.

NOTE: The perioperative period for the SCIP cardiac measures is defined as 24 hours prior to surgical incision through discharge from the post anesthesia care/recovery area.

Suggested Data Collection Question:Is there documentation that a beta-blocker was received during the perioperative period?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y   (Yes)   There is documentation that a beta-blocker was received during the perioperative period.

N   (No)   There is no documentation that a beta-blocker was received during the perioperative period or unable to determine from medical record documentation.

Notes for Abstraction:For patients with a beta blocker listed as a home or current medication:

  • If the patient arrived at the hospital on the day of surgery and there is documentation that the beta-blocker was taken at home on the day of surgery, select "yes." If it is documented that the patient took a beta-blocker the night prior to arrival, there must be a time to indicate when the beta-blocker was taken.
  • If the patient arrived on the day PRIOR TO SURGERY OR EARLIER, there must be documentation the beta-blocker was taken during the perioperative period. There must be a time to indicate when the beta blocker was taken.
  • To determine when the end of the perioperative period occurred for patients discharged from surgery and admitted to the Post Anesthesia Care Unit (PACU): The end of the perioperative period occurs when the patient is discharged from the PACU.
  • To determine when the end of the perioperative period occurred for patients discharged from surgery and admitted to locations other than the PACU (e.g., ICU):
    • The recovery period would end a maximum of six hours after arrival to the recovery area unless the anesthesiologist signs off before the six hours has elapsed.
    • If the anesthesiologist signs off before the patient enters the non-PACU recovery area, allow up to six hours for the recovery period.
      Examples:
      -The anesthesiologist signed off at 08:45. The patient arrived in ICU for recovery at 09:00. The post anesthesia care/recovery area period would end a maximum of six hours later or 15:00. Select “Yes” if a beta-blocker was received prior to the end of the recovery period.
      -The patient arrived in the ICU for recovery at 23:00 on 01-04-2008. After allowing six hours for the recovery period, the recovery end time would be 05:00 on 01-05-2008. Select “Yes” if a beta-blocker was received prior to the end of the recovery period.

Suggested Data Sources:
  • Anesthesia record
  • Consultation notes
  • History and physical
  • Nursing admission assessment
  • Progress notes
  • Operative report
  • Procedure notes
  • Medication administration record (MAR)
  • Preoperative record
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Refer to Appendix C, Table 1.3 for a comprehensive list of Beta-Blocker medications.
  • Eye drops containing beta-blocker (e.g., Cosopt)

Beta-Blocker Perioperative
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)