STS 2.73 : Cancelled Cases

The Great Migration to v 2.73 : 

(New STS Fields)

Click Image to View entire 2.73 Series …

The following post  describes the new fields that are identified as new data collection points in the  STS v. 2.73 Adult Cardiac Database.

(Customized PowerPoint Template for Perfusion STS Data Collection)

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Customized STS Form (for Perfusion)

Overview…

Case cancellations are often missed in STS data collection.  Aside from an early lunch, they represent a Quality issue for cardiac programs.

A lot of fields and paper space taken up to ascertain whether or not there was a cancelled operation during the patient’s stay, and the mitigating factors surrounding it.

A little boring, but data points nevertheless for situations that arise once in a blue moon (2 Full Moons in a calendar month).

Cancelled Cases

PCancCase

Indicate whether this case was previously attempted during this admission and canceled or aborted after patient entered the operating room.

Example# 1:

A patient comes to the O.R. for a CABG; during line insertion the carotid artery is inadvertently accessed. The case is postponed a few days to allow the puncture to heal prior to heparinization. No DCF is completed for that trip to the O.R. but the event is captured here (2415-2423) when the patient returns to have the scheduled surgery a few days later during the same hospital admission.

Answer: Yes

______________________________

Example #2:

A patient comes to the O.R for a valve replacement, during the time out, it is discovered that the device needed is not available. The patient is discharged and readmitted 2 days later. This patient will have 2 DCFs, the first will capture the first admission canceled case data in fields 2424-2431, and the second DCF (the second admission) will capture the valve replacement.

Answer:  No

______________________________

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PCancCaseDt

Enter date previously attempted case was canceled.

Date must be during this hospital admission.

PCancCaseTmg

Indicate at what point previously attempted case was canceled or aborted.

• Prior to Induction of Anesthesia
• After Induction, Prior to Incision
• After Incision Made

PCancCaseRsn

Indicate the reason why the previously attempted case was canceled or aborted.

• -Anesthesiology event: Includes airway, line insertion and medication issues encountered during induction
• -Cardiac arrest: Patient deterioration unrelated to induction
• -Equipment/supply issue: Device malfunction or supply issue including devices and blood products needed for surgery but not available
• -Unanticipated tumor
• -Other

PCancCaseCAB

Indicate whether the plan for the previously attempted procedure included coronary artery bypass grafting.

PCancCaseVal

Indicate whether the plan for the previously attempted procedure included a valve repair or replacement.

PCancCaseMech

Indicate whether the plan for the previously attempted procedure included implanting or explanting a mechanical assist device.

PCancCaseOC

Indicate whether the plan for the previously attempted procedure included any other cardiac procedure.

PCancCaseONC

Indicate whether the plan for the previously attempted procedure included any other non-cardiac procedure

CCancCaseTmg

Indicate at what point the current case was canceled or aborted.

• -Prior to Induction of Anesthesia
• -After Induction, Prior to Incision
• -After Incision Made

CCancCaseRsn

Indicate the reason why the current case was canceled or aborted.

• -Anesthesiology event: Includes airway, line insertion and medication issues encountered during induction
• -Cardiac arrest: Patient deterioration unrelated to induction
• -Equipment/supply issue: Device malfunction or supply issue including devices and blood products needed for surgery but not available
• -Unanticipated tumor
• -Other

CCancCaseCAB

Indicate whether the plan for the current procedure included coronary artery bypass grafting.

The intent is to capture the scheduled procedure.

• CCancCaseVal
• CCancCaseMech
• CCancCaseOC
• CCancCaseONC