National Healthcare Safety Network NHSN

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National Healthcare Safety Network (NHSN)

• Training Session
• for NNIS Hospitals
• January 20, 2005

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Agenda

• Types of Data, Forms, and Events
• Custom Options
• Groups
• Protocol Clarifications
• Announcements
• Q A

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Types of Data

• Patient Demographic information about the
  patient that is entered once into the system
• Event Information about infections and other
  adverse events either defined by CDC or the user
• Summary / Denominator Numeric data related to
  the population at risk
• Patient days and device days
• Procedure data
• Microbiology data
• Pharmacy data

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Forms
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Types of Forms

• Patient form
• Rarely used as a data collection form
• Can add custom fields
• Allergy alerts
• Isolation Precautions alerts

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Patient Form with Custom Field
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Types of Forms (cont.)

• Site-specific event forms
• BSI, UTI, PNEU, DI and SSI
• Used whenever these events are monitored, whether
  or not a device is in place

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03/18/2004
CARD
ICU
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Types of Forms (cont.)

• Custom event form
• For CDC-defined events (e.g., CVS-VASC, GIT-GE)
• For user-defined events (e.g., Falls, MyBSI)

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Types of Forms

• Summary denominator forms
• NICU
• SCA
• ICU/Other Locations (not NICU/SCA)
• AUR Microbiology Data
• AUR Pharmacy Data
• Outpatient Dialysis

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Types of Forms (cont.)

• Denominator for procedure form
• Replaces NNIS Surgical Patient Operative
  Procedure Daily Report Form and Supplemental Risk
  Factor Data Forms
• Procedure must be entered before an event can be
  linked to it

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X
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Types of Events

• CDC-defined Events Events for which CDC has a
  standard definition, i.e., major and specific
  sites of infection (e.g., BSI-LCBI, GIT-GE,
  CVS-VASC)
• Use Custom Event form for data collection,
  unless specific event form is available
• Events are included in the Event Type and
  Specific Event Type drop down lists
• Not included in the Plan, unless a Protocol Event

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Types of Events

• Protocol Events Events that are included in the
  Plan
• Event-specific forms for BSI, PNEU, UTI, DI, and
  SSI
• Example PNEU
• VAP (a Protocol Event)
• Post-procedure pneumonia (a Protocol Event)
• PNEU without Vent (a CDC-defined Event, but not a
  Protocol Event)

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Types of Events

• Custom Events Events that are not CDC-defined or
  Protocol Events
• Must first be created using the Custom Events
  feature of NHSN application
• Use Custom Event form for data collection
• Events are included in the Event Type drop down
  list only no Specific Event Types may be defined
• Not included in the Plan

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Custom Options

• Custom Events
• Custom Fields

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Custom Fields

• For collecting data of interest to the facility
• Labeled by user
• May be added to
• Patient form
• Event forms
• Summary denominator forms
• Procedure denominator forms

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Custom Fields

• Patient, Event, and Procedure Denominator forms
• 2 date fields
• 2 numeric fields
• 10 alphanumeric fields
• Summary forms
• 5 numeric fields

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CDC-defined Event with Custom Field
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Custom Event with Custom Fields
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Groups

• Healthcare entities that wish to share some or
  all of their surveillance data with each other

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NHSN facilitates Group participation but CDC is
not involved in the forming or management of
groups
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Nominating and Joining a Group

• Facility nominates a Group Names the Group and
  designates a Group Administrator
• Group Administrator applies for a digital
  certificate and logs into NHSN via the Secure
  Data Network
• Group Administrator creates a joining password
  that can be given to facilities interested in
  joining
• Facility joins the Group
• Once joined, facility confers rights to the Group

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Group Rights

• Rights are conferred at the Event level, and
  include access to corresponding summary or
  denominator data
• Can be restricted or modified

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Example of Group Rights

• If rights given for SSI, all procedure
  denominator data will be accessible to the group
• All SSI, whether or not in Plan
• All procedure denominator records, whether or not
  in Plan
• Remember that events and procedure denominators
  include patient data that will be shared, unless
  Excluding Identifying data is specified

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(Excluding identifying data)
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(Excluding identifying data)
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(Excluding identifying data)
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Other Ways to Share Data

• Without joining a group, a facility can download
• raw data
• analyzed data sets, or
• data reports
• These reports can then be sent to anyone you wish
  via email or on paper.

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Protocol for Clinical Sepsis

• Used for surveillance of BSI for neonates and
  infants in nurseries
• Well Baby Nursery (Level I)
• Level II Nursery
• Level II/III Nursery
• Level III Nursery
• Not used for adults or children
• LCBI only choice

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Central Line Protocol

• Definition
• A vascular infusion device that terminates at
  or close to the heart or in one of the great
  vessels

• Great Vessels
• Aorta
• Superior vena cava
• Inferior vena cava
• Brachiocephalic vein
• Internal jugular vein
• Subclavian vein
• Pulmonary artery
• External iliac vein
• Femoral vein

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Post-procedure Pneumonia Protocol

• Definition
• Meets criteria for pneumonia after an operation
  takes place but prior to discharge
• Association between the operation and the
  pneumonia based on type and date of operation and
  date of the pneumonia

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Announcements

• The Enrollment application is not ready yet
  were hopeful that well be able to contact you
  very soon to let you know its ok to begin the
  enrollment process
• This means
• The Consent Form is not yet available
• You cannot apply for your digital certificate
• Thanks again for your patience!

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Announcements

• January 27 scheduled training has been moved to
  February 3
• Feb 3 and Feb 17 training will be on Output
  Options and Analysis
• Jonathan Edwards will be the presenter for these
  sessions
• More information next week

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Support

• Online help messages within NHSN
• Email nhsn_at_cdc.gov
• Phone support
• 800-893-0485 or 404-498-1250
• Members website
• www.cdc.gov/ncidod/hip/nhsn/members/members.htm

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Questions?
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Thank You!
A few of the CDC NHSN staff