DataElem0301 - Manual - Performance Measurement Network

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Release Notes:
Data Element
Version 2010A1

Data Element Name:

Pre-transfusion Laboratory Testing

Collected For:

BM-03,

Definition:

Documentation of laboratory testing completed prior to the plasma transfusion event.

Suggested Data Collection Question:

Was laboratory testing completed prior to the plasma transfusion event?

Format:

Allowable Values:

1 There was documentation of a PT/INR > 2 and no coagulation studies prior to the plasma transfusion event.

2 There was documentation of a PT/INR ≤ 2 and no coagulation studies prior to the plasma transfusion event.

3 There was documentation of a PT/INR > 2 and coagulation studies prior to the plasma transfusion event.

4 There was documentation of a PT/INR ≤ 2 and coagulation studies prior to the plasma transfusion event.

5 There was no documentation of laboratory testing prior to the plasma transfusion event or unable to determine from medical record documentation.

Notes for Abstraction:

Review the PT/INR or coagulation study closest to the start of the plasma transfusion event ID for allowable values 1 – 4.
Select the laboratory testing results that are associated with the Plasma Event ID selected for abstraction.
Laboratory testing includes PT/INR and/or coagulation studies could include viscoelastometry (Thromboelastography, Sonoclot) or specific factor assays.
The result must be completed within 24 hours prior to the start of the plasma transfusion event selected for abstraction.

Suggested Data Sources:

Anesthesia record

Consultation notes

Emergency department record

History and physical

Laboratory report

Progress notes

Operative report

Blood administration form

Additional Notes:

Guidelines for Abstraction:

Inclusion	Exclusion
None	None

Pre-transfusion Laboratory Testing

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