ACC NCDR Tips

Specialties Cardiac

Published

Specializes in ICU, Cath Lab.

Hello all I am newer at doing data abstracting for the ACC NCDR database what I was wondering is how other facilities keep up with patients that "fallout" in the different categories. Example is mortalities, bleeding complications, pre.post creat. As it seems my facility is alway wanting me to pull stats or patient names for these that fall out each quarter. Has anyone made any kind of excel spread sheet or if you have any ideas how to track this easier and be able to pull the information up quickly without having to dig. Aly suggestions or help is greatly appreciated.

Specializes in RETIRED Cath Lab/Cardiology/Radiology.

I don't have any experience with ACC data abstraction.

However, we gather a lot of data so when asked, we can go back in the spreadsheet(s) and collect the info.

I wonder if the ACC DCDR website would be helpful for you:

NCDR - Quality Improvement for Institutions

We keep a main spreadsheet with pt info, which MDs performed the procedure, what kind of procedure, was pt in- or out-pt, was creatinine elevated before the case, and disposition of the pt (referred for surgery, medical management, etc). A place is provided for additional notes/comments.

We also keep a spreadsheet for complications. Ours is a small dept and we rely on the MDs and Fellows to inform us of any complications post-procedure.

A third spreadsheet is kept for tracking patients whose creatinine/eGFR were compromised BEFORE the cardiac cath, and we track the post-cath lab results as well as EF, fluids given during case, if pt was a diabetic and if pt was taking metformin.

In a fourth spreadsheet we track Device implants: date of implant, MD implanting, and we then note the charting of the wound site and patient well-being at the 2-week follow-up appointment and beyond, if necessary.

Perhaps best to make up your own Excel spreadsheet for your own needs. If the person doing documenting for the day would note areas of concern (e.g., elevated creat and decreased eGFR) in a spreadsheet, you would not have to conduct a post-procedure search.

Good luck to you!

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