Release Notes:
Data Element
Version 2010A1
| Data Element Name: | Preadmission Warfarin |
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| Collected For: | , , |
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| Definition: | Documentation that the patient was receiving warfarin prior to admission. |
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| Suggested Data Collection Question: | Is there documentation that the patient was on continuous warfarin prior to admission? |
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| Format: | | Length: | 1 |
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| Type: | Alphanumeric |
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| Occurs: | 1 |
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| Allowable Values: |
Y (Yes) There is documentation that the patient was on continuous warfarin prior to admission.
N (No) There is no documentation that the patient was on continuous warfarin prior to admission or unable to determine from medical record documentation.
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| Notes for Abstraction: |
- The intent of this data element is to exclude patients on continuous warfarin therapy prior to hospitalization.
- If there is documentation that warfarin was a “home” or “current” medication, select “Yes.”
- If warfarin was listed as a “home” or “current” medication, but placed on hold the day prior to surgery, select “Yes.” If the warfarin was placed on hold greater than 7 days prior to surgery, select “No.”
- If it is apparent from the documentation that the physician ordered one dose of warfarin to be taken at home in the 24 hours prior to incision, answer “no” as this is considered appropriate prophylaxis for some procedures.
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| Suggested Data Sources: |
- Consultation notes
- History and physical
- Nursing admission assessment
- Progress notes
- Procedure notes
- Medication administration record (MAR)
- Pre-anesthesia evaluation
- Preoperative record
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion | Exclusion |
- Refer to the first column of Table 2.1 in Appendix H, VTE Prophylaxis Inclusions, for a list of synonyms for warfarin.
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Preadmission Warfarin
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)
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