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NEW YORK STATE DEPARTMENT OF HEALTH DIVISION OF QUALITY AND PATIENT SAFETY CARDIAC SERVICES PROGRAMPercutaneous Coronary Interventions Report Form DOH3331Instructions and Data Element Definitions 2011

How to fill out percutaneous coronary intervention report

How to Fill Out Percutaneous Coronary Intervention Report:

1. Begin by gathering all necessary patient information such as name, age, medical history, and presenting symptoms.
2. Document the date and time of the procedure, as well as the names of all healthcare professionals involved in performing the percutaneous coronary intervention (PCI).
3. Record the pre-procedure assessment findings, including vital signs, laboratory results, and any pertinent diagnostic imaging results.
4. Detail the exact procedure performed, including the type of PCI (e.g., angioplasty, stenting), the specific vessels treated, and any complications encountered during the procedure.
5. Document important procedural details such as the medications used, the dosage administered, and the duration of each medication.
6. Include relevant post-procedure information, such as the patient's response to the intervention, any additional tests or treatments required, and any complications observed during the recovery period.
7. Provide a summary of the PCI outcomes, including the overall success of the procedure, any residual blockages, and recommendations for follow-up care or additional interventions.
8. Finally, ensure that all entries are legible, signed, and dated by the healthcare professional responsible for the report.

Who Needs a Percutaneous Coronary Intervention Report?

1. Cardiologists: The primary healthcare professionals performing PCIs rely on the report to document the procedure, outcomes, and any complications encountered during the intervention. This report serves as a valuable reference for future patient care and medical decision-making.
2. Hospital Records Department: The percutaneous coronary intervention report becomes a part of the patient's medical record, providing crucial information for future reference and continuity of care within the healthcare facility.
3. Insurance Companies: For reimbursement purposes, insurance companies may request the percutaneous coronary intervention report to verify the necessity and appropriateness of the procedure.
4. Researchers and Academics: Historical data collected from percutaneous coronary intervention reports plays a significant role in advancing research and understanding of cardiovascular diseases and interventions. This information helps shape guidelines and protocols for future patient care.

In essence, filling out a percutaneous coronary intervention report accurately and comprehensively is essential for proper patient care, medical records, reimbursement, and furthering scientific knowledge in the field of cardiology.

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What is percutaneous coronary intervention report?

Percutaneous coronary intervention report is a document that records the details of a specific medical procedure used to treat blockages in the coronary arteries.

Who is required to file percutaneous coronary intervention report?

Medical professionals who perform percutaneous coronary intervention procedures are required to file the report.

How to fill out percutaneous coronary intervention report?

The report should be filled out with details of the patient, the procedure performed, any complications, and outcomes.

What is the purpose of percutaneous coronary intervention report?

The purpose of the report is to maintain a record of the procedure for future reference and quality assurance.

What information must be reported on percutaneous coronary intervention report?

Information such as patient demographics, procedural details, any complications, and outcomes must be reported.