Release Notes:
Data Element
Version 2010B
| Data Element Name: | Clinical Indication for Prophylactic Platelets |
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| Collected For: | |
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| Definition: | Documentation by the physician/advance practice nurse/physician assistant (physician/APN/PA) of the clinical indication for the first non-emergent transfusion of platelets. |
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| Suggested Data Collection Question: | What was the clinical indication documented for the first platelet transfusion? |
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| Format: | | Length: | 1 |
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| Type: | Alphanumeric |
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| Occurs: | 1 - 2 |
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| Allowable Values: |
Select all that apply for the first platelet transfusion:
1 Bleeding (due to critically decreased circulating platelet count or functionally abnormal platelets).
2 Prophylactic administration to patients with rapidly decreasing or low platelet counts (usually ≤ 10,000/ μL secondary to cancer, marrow aplasia or chemotherapy).
A None of the above or unable to determine from medical record documentation.
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| Notes for Abstraction: | The clinical indication for the transfusion must be documented within 24 hours of the transfusion. |
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| Suggested Data Sources: |
ONLY PHYSICIAN/APN/PA DOCUMENTATION OF THE CLINICAL INDICTION FOR ADMINISTERING PLATELETS:
- Anesthesia record
- Consultation notes
- Emergency department record
- History and physical
- Physician orders
- Progress notes
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| Additional Notes: |
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| Guidelines for Abstraction: |
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| Inclusion | Exclusion | |
None
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None |
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Clinical Indication for Prophylactic Platelets
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
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