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Release Notes:
Data Element
Version 2010A1

Data Element Name: Emergency Order Time
Collected For:
Definition:The time (military time) that the first unit of emergency blood was ordered.
Suggested Data Collection Question:What time was the first unit of emergency blood ordered?
Format:
Length:5 - HH:MM (with or without colon) or UTD
Type:Alphanumeric
Occurs:1
Allowable Values:

Enter the documented time that the first unit of emergency blood was ordered. HH = Hour (00-23)

MM = Minutes (00-59)

UTD = Unable to Determine

CMS/TJC ALIGNED MEAURE NOTES:

Time must be recorded in military time format. With the exception of Midnight and Noon:

  • If the time is in the a.m., conversion is not required
  • If the time is in the p.m., add 12 to the clock time hour

Notes for Abstraction:
  • The medical record must be abstracted as documented (taken at “face value”). When the time documented is obviously in error (not a valid format/range) and no other documentation is found that provides this information, the abstractor should select “UTD.” Example:Documentation indicates the Emergency Order Time was 3300. No other documentation in the list of ONLY ACCEPTABLE SOURCES provides a valid time. Since the Emergency Order Time is outside of the range in the Allowable Values for “Hour,” it is not a valid time and the abstractor should select “UTD.”

    Note:Transmission of a case with an invalid time as described above will be rejected from the QIO Clinical Warehouse and the Joint Commission’s Data Warehouse. Use of “UTD” for Emergency Order Time allows the case to be accepted into the warehouse.

  • Review only the acceptable sources to determine the time the order was written at the hospital.
  • The source “Procedure notes” refers to formal documents that describe a procedure that was done (e.g., endoscopy, cardiac cath). ECG and x-ray reports should NOT be considered procedure notes.
  • Select the first Emergency Order Time associated with the Emergency Transfusion and Emergency Transfusion Date selected for abstraction if the patient had more than one transfusion administered emergently.

Suggested Data Sources:
  • Anesthesia record
  • Emergency department record
  • Progress notes
  • Physician orders
  • Operative report
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
Acceptable “emergently” terms:
  • Acute bleeding
  • Massive bleeding
  • Acute hemoptysis
  • Acute GI bleed
  • Critical
  • STAT blood transfusion
  • Emergent
  • Exsanguination
  • Actively bleeding
  • Hemorrhage
  • Life-saving
List is not all inclusive

  • Routine
  • Urgent

Emergency Order Time
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)
Questions? Ask Question to Joint Commission staff Copyright © 2010 by The Joint Commission.