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🌱 Answer: For patients now cared for by the Wound Service and not the Burn Service, you should not continue to enter these patients in the registry. The Data Dictionary states "The Burn Service should be responsible for or co-managing the care of the patient for the case to be included in the registry."
🤔 Question: Can you clarify why are we not required to collect some specific data fields on all patients. Ex. Co-morbids and complications. Complications for example are essential for all patients and centers should be tracking and reviewing their complications regardless of the overall TBSA. If we are only "required to collect" them on >10% TBSA injured patients, there will be some centers that choose to capture on all patients as this gives a true representation of complications for their entire service line/program. When it comes to reports and comparisons center to center the data is skewed as some centers that choose to capture on all patients will be "over reporting.
🌱 Answer: It was decided by the Quality and Burn Registry Committee that certain fields like complications would not be required to be collected on some of the patients to decreases the volume of data collection for the burn centers. For example, minor burn populations have few complications and the amount of time to collect this data has a low return on the investment to collect the data. This is, for example, patients with <10% TBSA burn injuries who do not have an inhalation injury, do not go to surgery or do not die. Burn centers may, of course, decide to collect this data for their own purposes.
🤔 Question: Our facility has patients who come into Emergency Department, get admitted with an order for OBS, ICU, progressive care, or med/surg however, they never leave the ED because of bed issues. In these instances, for burns, is this considered admitted? By the way, they sometimes stay longer than 24hrs but other times its less than 24hrs. We are trying to define on how to enter for initial admission or related admission for these patients.
🌱 Answer: This is addressed in the 2024 Data Dictionary under Registry Inclusion Criteria (page 5). If the patient is under the care of the burn service, regardless of where in the hospital they are, then they should be included in the registry if they meet one of the 3 criteria listed in the Data Dictionary/Registry Inclusion Criteria. You may also include observation patients admitted for less than 24 hours if they are under the care of the burn service. All these patients should be admitted as initial admits. - Registry Inclusion Criteria (Page 5 Data Dictionary 2024)
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