Release Notes:
Data Element
Version 2010B
| Data Element Name: | Transfusion Consent |
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| Collected For: | BM-01, |
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| Definition: | Documentation of a signed consent prior to the first blood transfusion event of RBCs, platelets or plasma. |
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| Suggested Data Collection Question: | Was there documentation of a signed consent prior to the first blood transfusion event? |
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| Format: | | Length: | 1 |
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| Type: | Numeric |
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| Occurs: | 1 |
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| 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.
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| 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.
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| Suggested Data Sources: |
- Emergency department record
- History and physical
- Nursing notes
- Progress notes
- Operative notes
- Consent form
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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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Transfusion Consent
Specifications Manual for Joint Commission National Quality Core Measures (2010B)
Discharges 10-01-10 (4Q10) through 03-31-11 (1Q11)
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