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发表于 2014-6-10 12:56:27
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凹凸了，能否介绍下？
对于部门归属问题，监测方案里面这样说，不知是否可以解决你所说的问题：
Location of attribution: The inpatient location where the patient was assigned on the date of the PNEU event, which is further defined as the date when the first clinical evidence appeared or the date the specimen used to meet the PNEU criterion was collected, whichever came first.
EXAMPLE: Patient is intubated and ventilated in the Operating Room and then is admitted to the MICU. Within 24 hours of admission to the MICU, patient meets criteria for PNEU. This is reported to NHSN as a VAP for the MICU, because the Operating Room is not an inpatient location and no denominator data are collected there.
EXAMPLE: Patient on the Respiratory ICU (RICU) of Hospital A had the endotracheal tube and ventilator removed and is discharged home a few hours later. The ICP from Hospital B calls the next day to report that this patient has been admitted to Hospital B with a PNEU. This VAP should
be reported to NHSN for, and by,Hospital A and attributed to the RICU. No additional ventilator days are reported.
EXCEPTION: If a VAP develops within 48 hours of transfer from one inpatient location to another in the same facility, the infection is attributed to the transferring location. This is called the Transfer Rule and examples are shown below:
• Patient on a ventilator in the SICU is transferred to the surgical ward. Thirty six (36) hours later, the patient meets the criteria for PNEU. This is reported to NHSN as a VAP for the SICU.
• Patient is transferred to the medical ward from the MSICU after having ventilator removed. Within 24 hours, the patient meets criteria for a PNEU. This is reported to NHSN as a VAP for the MSICU.
• Patient on a ventilator is transferred from the medical ward to the coronary care ICU (CCU). After 4 days in the CCU, the patient meets the criteria for a PNEU. This is reported to NHSN as a VAP for the CCU.
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楼主: Alioda
