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Release Notes:
Data Element
Version 2010A1

Data Element Name: Emergency Transfusion
Collected For:
Definition:Documentation by the physician/advance practice nurse/physician assistant (physician/APN/PA) that the patient received blood emergently.
Suggested Data Collection Question:Was there documentation that the patient received blood emergently?
Format:
Length:1
Type:Alphanumeric
Occurs:1
Allowable Values:

1    There was documentation that the patient received blood emergently.

2    There was documentation that the patient only received blood emergently.

3    There was no documentation that the patient received blood emergently or unable to determine from medical record documentation.

Notes for Abstraction:
  • Documentation written post transfusion is acceptable.
Suggested Data Sources:

ONLY PHYSICIAN/APN/PA DOCUMENTATION:

  • Anesthesia record
  • Emergency department record
  • Operating room notes
  • Operative notes
  • Operative report
  • Progress notes
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
Acceptable “emergently” terms:

  • Acute bleeding
  • Massive bleeding
  • Acute hemoptysis
  • Acute GI bleed
  • Critical
  • STAT blood transfusion
  • Exsanguination
  • Hemorrhage
  • Life-saving
  • Massive bleeding
  • Acute GI bleed
  • STAT blood transfusion
  • Active bleeding

List is not all inclusive

  • Routine
  • Urgent

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