Hello & Happy Friday!

I have a question for those of you who use Midas for abstraction.

I have two questions in Midas referring to antibiotics:


1.      Broad spectrum or other abx administration



Definition: Documentation of administration of a broad spectrum or other 
antibiotic intravenously in the time window 24 hours prior to or 3 hours 
following the presentation of severe sepsis ( no selection mentioned)



2.      Broad spectrum or other abx administration selection

            Definition: The selection of the intravenous (IV) antibiotic 
administered within 3 hours following the presentation of severe sepsis.
                Suggested Data Collection Question: Was the intravenous (IV) 
antibiotic administered

My question is why is ABX selection only counted in the ABX that were received 
within 3 hours of presentation? Our ED usually treats before the documentation 
of a "source" so my presentation time is usually after the ABX have been given 
so I have to check "no" to question #2. I sent a question to Qnet but they 
confused me more. Any help with this is appreciated.

Thank you,
Barb

Barbara Tribuiani ,BSN, RN
Quality Improvement Department
Phone: 610-237-4208
Fax: 610-237-4264

T Together
E Everyone
A Achieves
M More


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