ID

22919

Description

Routine documentation in German hospitals. Source file name: VL040310_Infektionsdokumentationsbogen Examplary forms provided by DMI (http://www.dmi.de/)

Link

http://www.dmi.de/

Keywords

  1. 6/8/17 6/8/17 -
  2. 6/16/17 6/16/17 -
  3. 8/2/17 8/2/17 -
Uploaded on

June 16, 2017

DOI

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License

Creative Commons BY-NC 3.0

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Infection documentation, nosocomial Routine documentation in German hospitals DMI

Infection documentation, nosocomial Routine documentation in German hospitals DMI

General information
Description

General information

Patient data
Description

This sheet is enclosed to every patient's chart. If nosocomial infection (NI) does not emerge during the hospital stay, plaease fill in the patient's data only and check "no". In the event of NI, please fill in the entire questionnaire and return it to the patient admission.

Data type

text

Nosocomial infection
Description

Nosocomial infection

Nosocomial infection (NI)
Description

Nosocomial infection (NI)

Data type

boolean

Type of infection
Description

Type of infection

Data type

text

Microbiological diagnostics
Description

Microbiological diagnostics

Pathogen detection conducted
Description

Pathogen detection

Data type

boolean

Type of pathogen
Description

Type of pathogen

Data type

text

Diagnoses and medical procedures
Description

Diagnoses and medical procedures

Diagnoses
Description

Fill in only in case of NI

Data type

text

Medical procedure
Description

Medical procedure

Data type

text

ICU stay
Description

ICU stay

ICU
Description

ICU stay

Data type

boolean

Before surgery
Description

ICU stay before surgery

Data type

boolean

After surgery
Description

ICU stay after surgery

Data type

boolean

Antibiotics
Description

Antibiotics

Preoperative antibiotic prophylaxis
Description

Preoperative antibiotic prophylaxis

Data type

boolean

Antibiotic therapy
Description

Antibiotic therapy

Data type

boolean

Risk factors
Description

Risk factors

Diabetes
Description

Diabetes

Data type

boolean

Obesity
Description

Obesity

Data type

boolean

Cachexia
Description

Cachexia

Data type

boolean

Carcinoma
Description

Carcinoma

Data type

boolean

Abuse
Description

Abuse

Data type

boolean

Immunodeficiency
Description

Immunodeficiency

Data type

boolean

Cytostatic therapy
Description

Cytostatic therapy

Data type

boolean

Other
Description

Other

Data type

boolean

Signature
Description

Signature

Date
Description

Date

Data type

date

Signature physician
Description

Signature physician

Data type

text

Similar models

Infection documentation, nosocomial Routine documentation in German hospitals DMI

Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
General information
Patient data
Item
Patient data
text
Item Group
Nosocomial infection
Nosocomial infection (NI)
Item
Nosocomial infection (NI)
boolean
Item
Type of infection
text
Code List
Type of infection
CL Item
Wound infection (Wound infection)
CL Item
Urinary tract infection (Urinary tract infection)
CL Item
Respiratory tract infection (Respiratory tract infection)
CL Item
Septicemia (Septicemia)
CL Item
Peripheral venous catheter infection (Peripheral venous catheter infection)
CL Item
Central venous catheter infection (Central venous catheter infection)
CL Item
Other infection (Other infection)
Item Group
Microbiological diagnostics
Pathogen detection
Item
Pathogen detection conducted
boolean
Type of pathogen
Item
Type of pathogen
text
Item Group
Diagnoses and medical procedures
Diagnoses
Item
Diagnoses
text
Item
Medical procedure
text
Code List
Medical procedure
CL Item
aseptic (aseptic)
CL Item
colonization/contamination (colonization/contamination)
CL Item
infection (infection)
Item Group
ICU stay
ICU stay
Item
ICU
boolean
ICU stay before surgery
Item
Before surgery
boolean
ICU stay after surgery
Item
After surgery
boolean
Item Group
Antibiotics
Preoperative antibiotic prophylaxis
Item
Preoperative antibiotic prophylaxis
boolean
Antibiotic therapy
Item
Antibiotic therapy
boolean
Item Group
Risk factors
Diabetes
Item
Diabetes
boolean
Obesity
Item
Obesity
boolean
Cachexia
Item
Cachexia
boolean
Carcinoma
Item
Carcinoma
boolean
Abuse
Item
Abuse
boolean
Immunodeficiency
Item
Immunodeficiency
boolean
Cytostatic therapy
Item
Cytostatic therapy
boolean
Other
Item
Other
boolean
Item Group
Signature
Date
Item
Date
date
Signature physician
Item
Signature physician
text

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