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Release Notes:
Data Element
Version 2010B

Data Element Name: Education Addressed Risks, Benefits and Alternatives to Transfusion
Collected For: BM-01,
Definition:Documentation that information addressing risks, benefits and alternatives to transfusion was given to the patient/caregiver prior to the first transfusion event.
Suggested Data Collection Question:Was there documentation that information regarding risks, benefits and alternatives to transfusion was given to the patient/caregiver prior to the first transfusion event?
Format:
Length:1
Type:Numeric
Occurs:1
Allowable Values:

1    Information addressing the risks, benefits and alternatives to transfusion was given to the patient/caregiver prior to the first transfusion event.

2    Information addressing the risks, benefits and alternatives to transfusion was not given to the patient/caregiver prior to the first transfusion event or unable to determine from medical record documentation.

Notes for Abstraction:
  • Use only documentation provided in the medical record itself
  • If the patient refused information about risks, benefits and alternatives to transfusion, select “1.”
  • The caregiver is defined as the patient’s family or any other person (e.g., guardian) who will be responsible for care of the patient.
Suggested Data Sources:
  • Consultation notes
  • Emergency department record
  • History and physical
  • Nursing notes
  • Progress notes
  • Operative notes
  • Admission forms
  • Consent form

Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
None None

Education Addressed Risks, Benefits and Alternatives to Transfusion
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)