Release Notes:
Data Element
Version 2010A1
| Data Element Name: | Clinical Indication for Platelets |
|---|
| Collected For: | BM-04a, BM-04b, |
|---|
| Definition: | Documentation by the physician/advance practice nurse/physician assistant (physician/APN/PA) of the clinical indication for the platelet transfusion event. |
|---|
| Suggested Data Collection Question: | What was the clinical indication documented by the physician/APN/PA for the platelet transfusion event? |
|---|
| Format: | | Length: | 1 |
|---|
| Type: | Numeric |
|---|
| Occurs: | 1 - 3 |
|---|
|
|---|
| Allowable Values: |
Select the indication for the platelet transfusion event:
1 Bleeding
2 No bleeding,but scheduled for invasive procedure with documentation of thrombocytopenia or platelet dysfunction
3 No bleeding, but with documentation of thrombocytopenia or platelet dysfunction
4 Other
5 No documentation of clinical indication for the platelet transfusion
|
|---|
| Notes for Abstraction: |
- The clinical indication for the transfusion must be documented within 24 hours after the transfusion.
- Select “1’ if there is documentation of ‘hemorrhage’ or a massive transfusion protocol was used.
- Select the first three platelet transfusion events after hospital arrival for abstraction.
- If there is an indication, but there is no documentation of "thrombocytopenia", "low platelet count" or "platelet dysfunction" by the physician, PA, or APN, select "4".
|
|---|
| Suggested Data Sources: |
ONLY PHYSICIAN/APN/PA DOCUMENTATION OF THE CLINICAL INDICATION FOR ADMINISTERING PLASMA:
- Anesthesia record
- Consultation notes
- Emergency department record
- History and physical
- Physician orders
- Progress notes
|
|---|
| Additional Notes: |
|
|---|
| Guidelines for Abstraction: |
|---|
| Inclusion | Exclusion | |
None
|
None |
|
Clinical Indication for Platelets
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)
|