Release Notes:
Data Element
Version 2010B
| Data Element Name: | Aspirin Received Within 24 Hours Before or After Hospital Arrival |
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| Collected For: | AMI-1, |
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| Definition: | Aspirin received within 24 hours before or 24 hours after hospital arrival. Aspirin reduces the tendency of blood to clot by blocking the action of a type of blood cell involved in clotting. Aspirin improves chances of surviving a heart attack and reduces the risk of recurrence in patients who have experienced a heart attack. |
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| Suggested Data Collection Question: | Was aspirin received within 24 hours before or 24 hours after hospital arrival? |
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| Format: | | Length: | 1 |
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| Type: | Alphanumeric |
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| Occurs: | 1 |
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| Allowable Values: |
Y (Yes) Aspirin received within 24 hours before or 24 hours after hospital arrival.
N (No) Aspirin not received within 24 hours before or 24 hours after hospital arrival or unable to determine from medical record documentation.
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| Notes for Abstraction: |
- When unable to determine for certain whether aspirin was received within 24 hours prior to arrival (e.g., last dose noted as 02-27-2008 and patient arrived at hospital on 02-28-2008 at 09:00), select “No.”
EXCEPTIONS:
- When aspirin is listed only as a home or "current" medication, and the exact timing of the last dose the patient took is not noted, infer that the patient took aspirin within the 24 hour timeframe, unless documentation suggests otherwise.
- When aspirin is noted only as received prior to arrival, without information about the exact time it was received (e.g., "Baby ASA X 4" per the "Treatment Prior to Arrival" section of the Triage Assessment), infer that the patient took aspirin within the 24 hour timeframe, unless documentation suggests otherwise.
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| Suggested Data Sources: |
- Emergency department record
- History and physical
- Nursing admission assessment
- Medication administration record (MAR)
- Transfer sheet
- Ambulance record
- Medication reconciliation form
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion | Exclusion |
- Refer to Appendix C, Table 1.1 for a comprehensive list of Aspirin and Aspirin-Containing Medications.
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Aspirin Received Within 24 Hours Before or After Hospital Arrival
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
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