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Release Notes:
Data Element
Version 2010A1

Data Element Name: Fibrinolytic Administration
Collected For: AMI-7, AMI-7a, AMI-8, AMI-8a,
Definition:The patient received primary fibrinolytic therapy during this hospital stay. Fibrinolytic therapy is the administration of a pharmacological agent intended to cause lysis of a thrombus (destruction or dissolution of a blood clot).
Suggested Data Collection Question:Was primary fibrinolytic therapy received during this hospital stay?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y    (Yes)   Primary fibrinolytic therapy administered during hospital stay.

N   (No)   No primary fibrinolytic therapy administered during hospital stay, or unable to determine from medical record documentation.

Notes for Abstraction:
  • In the event the patient was brought to the hospital via ambulance and fibrinolytic therapy was infusing at the time of arrival, select “Yes.”
  • In the event the patient was brought to the hospital via ambulance and fibrinolytic therapy was infused during transport but was completed at the time of hospital arrival, select “No.”
Suggested Data Sources:
  • Emergency department record
  • Nursing notes
  • Discharge summary
  • Medication administration record (MAR)
  • ICU/nursing flow sheets
  • IV flow sheets
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Refer to Appendix C, Table 1.5 for a comprehensive list of Fibrinolytic Agents.
  • Fibrinolytics given during or after a PCI

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