Release Notes:
Data Element
Version 2010A1
| Data Element Name: | Transfusion Consent |
|---|
| Collected For: | BM-01, |
|---|
| Definition: | Documentation of a signed consent prior to the first blood transfusion event of RBCs, platelets or plasma. |
|---|
| Suggested Data Collection Question: | Was there documentation of a signed consent prior to the first blood transfusion event? |
|---|
| Format: | | Length: | 1 |
|---|
| Type: | Numeric |
|---|
| Occurs: | 1 |
|---|
|
|---|
| Allowable Values: |
1 There was documentation of a signed consent prior to the first blood transfusion event.
2 The first blood transfusion event was deemed a medical emergency.
3 There was no documentation of a blood transfusion consent prior to the first blood transfusion event or unable to determine from medical record documentation.
|
|---|
| Notes for Abstraction: |
- The consent may be signed by the patient or caregiver.
- If organizations require a consent prior to every transfusion, then review the record for the first transfusion event to answer this data element.
- For hospitals that use a general consent for treatment that includes transfusions, select Yes.
- If a patient receives chronic transfusions and a previous consent is acceptable for a defined timeframe within the institution, select 1 if the consent is valid.
|
|---|
| Suggested Data Sources: |
- Emergency department record
- History and physical
- Nursing notes
- Progress notes
- Operative notes
- Consent form
|
|---|
| Additional Notes: |
|
|---|
| Guidelines for Abstraction: |
|---|
| Inclusion | Exclusion | |
None
|
None |
|
Transfusion Consent
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)
|