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Release Notes:
Data Element
Version 2010A1

Data Element Name: Oral Antibiotics
Collected For: SCIP-Inf-1, SCIP-Inf-2, SCIP-Inf-3,
Definition:Documentation that the only antibiotic combinations administered prior to hospital arrival or prior to incision were either oral Neomycin Sulfate + Erythromycin Base or oral Neomycin Sulfate + Metronidazole.
Suggested Data Collection Question:Were the only antibiotic combinations administered prior to hospital arrival or prior to incision either oral Neomycin Sulfate + Erythromycin Base or oral Neomycin Sulfate + Metronidazole?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

Y    (Yes)   The only antibiotics administered prior to hospital arrival or prior to incision were either oral Neomycin Sulfate + Erythromycin Base or oral Neomycin Sulfate + Metronidazole.

N   (No)   Oral Neomycin Sulfate + Erythromycin Base or oral Neomycin Sulfate + Metronidazole were not the only antibiotics administered prior to hospital arrival, or prior to incision, or unable to determine from medical record documentation.

Notes for Abstraction:
  • If there is documentation of a Nichol’s Bowel Prep used prior to hospital arrival or prior to incision and there is no mention of other antibiotics administered prior to hospitalization or prior to incision, select “Yes.” Nichol’s Bowel Prep contains the recommended oral antibiotics for Colon Surgery.
  • If there is documentation of instructions for “oral antibiotics” to be taken at home OR documentation of instructions or prescriptions given to the patient in regards to “oral antibiotics,” AND there is documentation that the oral antibiotics are the appropriate antibiotics as listed in this question, assume they were taken; select “Yes.”
Suggested Data Sources:
  • Consultation notes
  • Emergency department record
  • History and physical
  • Nursing notes
  • Nursing admission assessment
  • Medication administration record (MAR)
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
  • Erythromycin Base
  • Metronidazole
  • Neomycin Sulfate

Refer to Appendix C, Table 3.3 and Table 3.4 for a comprehensive list of Colon-Oral Antibiotics.

  • None

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