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Release Notes:
Data Element
Version 2010A1

Data Element Name: Blood Culture Collected
Collected For: PN-3a, PN-3b,
Definition:Documentation in the medical record that a blood culture was collected the day prior to arrival or within 24 hours after arrival to the hospital. This includes blood cultures drawn in the emergency room or in observation beds prior to admission order, as well as after the patient's admission to inpatient status. A blood culture can be defined as a culture of microorganisms from specimens of blood to determine the presence and nature of bacteremia.
Suggested Data Collection Question:Did the patient have blood cultures collected the day prior to arrival or after hospital arrival?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

1   Initial blood culture collected in the ED prior to admission order.

2   Initial blood culture collected during this hospitalization but after admission order for ED patients (or anytime during this hospitalization for Direct Admits).

3   Documentation that the patient had a blood culture collected within 24 hours prior to hospital arrival.

4   The patient did not have a blood culture collected within 24 hours prior to arrival, during this hospitalization or unable to determine from medical record documentation.

Notes for Abstraction:
  • If the ED patient had an initial blood culture collected as an ED patient (regardless of location e.g. sent to radiology for tests) prior to an admission order, select "1." If a patient was held in the ED for a period of time following an admission order, and the initial blood culture was collected while the patient was still in the ED but following the admission order, select "2."
  • If a blood culture is ordered and there is an attempt to collect it, but the attempt results in failure to collect the specimen (too dehydrated to get a vein) or the specimen was contaminated during or after the draw, select 1 or 2.
  • For the purposes of this measure, a patient is no longer considered an ED patient after the admission order is written, regardless of location.
  • If there are multiple admit orders, use the initial (earliest) one for this data element.
  • If no blood cultures are collected within 24 hours after arrival to the hospital, select 4.
  • If it is evident a blood culture was performed after arrival to the hospital but from medical record documentation you are unable to determine if the blood culture was performed in the ED prior to admission or performed after admission, Select 2.
Suggested Data Sources:
  • Emergency department record
  • History and physical
  • Laboratory report
  • Nursing notes
  • Progress notes
  • Microbiology report
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion

  • BC
  • Blood cultures
  • Blood cultures collected on patients in observation beds
  • Initial blood culture collected within 24 hours after arrival to the hospital.

  • Initial blood culture collected more than 24 hours after arrival to the hospital.
  • Cultures collected more than 24 hours prior to arrival.

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