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Article in progress......working on it.  Collectors need your input to items list below.[[User:TOstryzniuk|Trish Ostryzniuk]] 14:55, 2017 January 11 (CST)
{{Project
|ProjectActive=legacy
This is a ''temporary project'' to track source collectors use for [[Accept DtTm]].
|ProjectProgram=CC and Med
|ProjectRequestor=Internal
|ProjectCollectionStartDate=2017-02-01
|ProjectCollectionStopDate=2017-03-31
|Project={{PAGENAME}}
}}
{{LegacyContent
|explanation=Project finished
|successor=
|content=


Operation Planning - Patient Flow.  Region Managers and Director are monitoring and tracking patient flow from the '''emergency department''' to their unit.  The data helps support any changes needed to improve patient flow from ER to unit.
 


We currently track [[Accept DtTm]] however, we need to identify the "source" that this information is being abstracted from by collectors in Region. We are starting a short term project in order to do this.  
Tracking of the source collectors use for ''Accept DtTm'' to help us assess quality and consistency of this data.  


==Collection instructions==
==Collection instructions==
Applies to all patients admitted from your local emergency department only. When you enter an [[Accept DtTm field | Accept Date/Time]}:  
For each patient admitted from the ER, enter one or more lines for this project.  
*TMP tab on laptop in [[CCMDB.mdb]]
 
*Project: AcceptDateSource
Enter '''one line for each document''' you came across that you could have used as source for the ''Accept DtTm'', enter the source/document:  
*Item: select all sources this info was documented at your site.  Could be one or more with different or same DateTm
* TMP tab on laptop in [[CCMDB.accdb]]
* '''Project''': AcceptDateSource
* '''Item''': select the document from [[#Options for "Item"]]
* '''checkbox/column B''': check if this is the document you used for the ''Accept DtTm''
* '''Date/column E''': enter the date if different from the one you used.
* '''Time/column M''': enter the time if different from the one you used.
** If '''time is not documented''' leave it blank and enter "no time documentation" into the comment field.
** If '''multiple times''' are documented in a given Item (say Dr Order), enter the earliest time and no need to enter the other times of the same Item.  [[User:JMojica|JMojica]] 10:29, 2017 January 31 (CST)
* '''coment/column Q'''': comment if item is "Guess" or "Other"
 
=== Direct Admissions / Transfers who stop in ER ===
*See: ''Accept_DtTm_field#Direct_Admissions.2FTransfers''
*For direct admits but stop in ER and Accept_DtTm recorded, choose the option 'Other' and write in the Comment 'Triage sheet-direct'.
 
=== Options for "Item" ===
Use one of the following for the "Item":
{| class="wikitable sortable"
|-
!| item
!| description
!| sort order
|-
|| ER form-Request for Admit to inpatient unit ||  || 1
|-
|| Inpatient Summary Sheet || whatever colour, white at HSC or pink at Conc, Gra || 2
|-
|| Dr. order || written order that our service physician order accepting the patient || 3
|-
|| Standard Order Sheet || ICU or Medicine || 4
|-
|| Admission Notes || ICU or Medicine || 5
|-
|| Consult Form || only consult to ICU or Medicine Services || 6
|-
|| HX & Physic note || || 7
|-
|| ER Dr note || note that ICU/med service accepted the patient || 8
|-
|| EPR - see wiki for field to use || see [[#location of accept dttm in EPR]] || 9
|-
|| Inpatient Demographic Sheet || || 9.5
|-
|| Guess - no documentation || || 10
|-
|| Other || enter in comment what it is || 11
|}
 
=== standard vs drs orders ===
* ... However any standard order sheet should really be considered a "Dr's order" unless we are trying to establish a consistent source across all facilities where we can determine accept time, with the exception of SBGH of course.
** good point. We are trying to find out how things are documented though, so for now let's treat them differently, but thanks for letting us know that we can combine them. (discussed w Tina and Julie) [[User:TOstryzniuk|Trish Ostryzniuk]] 14:02, 2017 February 7 (CST)


{{Discussion}}
=== ICU vs Medicine ===
before we start, I need help for the drop down list for items in regards what the sources might be.  This is tentative list subject to staff input.  I have started the list below:
* We are also putting consults for screening medicine under other as the current dropdown allows only for ICU consult, could that be changed to say consult? [[User:Lkaita|Lisa Kaita]] 11:11, 2017 February 7 (CST)
# ER form-Request for Admit to inpatient unit
** We have changed anything that was specific to ICU so it could be medicine as well. Thanks, good point! [[User:TOstryzniuk|Trish Ostryzniuk]] 14:02, 2017 February 7 (CST)
# Inpatient summary sheet (pink sheet) - {{Discussion}} - is this only at VIC?  I think HSC has pink sheet too.
# Doctors order
# Standard ICU order sheet
# ICU admission notes
# ICU consult
# HX & Physic note
# EPR - {{Discussion}} - where in EPR, what is the field name?
# ER Dr note-ICU accepted the patient
# Guess - no documentation
# other
*for each item above selected need to include:
**column E - date
**column M - time
**column B - check box - mark which source you used in Dispo tab for AcceptDtTm.
**Column Q - COMMENT - if guess or other


== Preliminary documentation info ==
== Preliminary documentation info ==
As we are trying to find out what to collect, we found the following.  
As we are trying to find out what to collect, we found the following.  
*I can't think of anything you have missed for HSC.--[[User:Jpeterson|Jpeterson]] 08:36, 2017 January 18 (CST)
 
=== "ER Department - Request for Admission to Inpatient Unit" form ===
=== "ER Department - Request for Admission to Inpatient Unit" form ===
At HSC, Director of Medical Records states that there should be a white form on chart - ''ER Department - Request for Admission to Inpatient Unit''. (Trish asked them to fax her copy).  
At HSC, Director of Medical Records states that there should be a white form on chart - ''ER Department - Request for Admission to Inpatient Unit''. (Trish asked them to fax her copy).  
Hospitals using this:  
Hospitals using this:  
* HSC
* HSC
* Vic
* VIC
* Conc has this form but is not a permanent part of the chart,it is tossed in confidential waste.
* CON - has this form but is not a permanent part of the chart,it is tossed in confidential waste.
* SOGH
* Grace-the request for admission form filled out in the ER is a part of the permanent chart. The time on this form is taken from the orders when the "Admit to Medicine" order is written, so the time is ideally the same on both forms, however some differences in time have been noted.  This is also the same time entered on the Pink Admission Summary form.


=== VIC consult sheet ===
=== HSC Pink Sheets ===
* the consult sheet in ER/viewed in EPR  filled out by the Bed Doc (VIC) will indicate whether he will admit to Medicine(teaching vs Nonteaching) however we dont use that time only the Pink Inpt summary Sheet time.
HSC's pink sheet is only seen rarely. Usually I've only seen it for patients who came in for a same day procedure and then ended up needing to be admitted to medicine. We use the white sheet where the physician requests a bed for the patient. This time is usually the same time as the doctors orders.--[[User:CMarks|CMarks]] 13:10, 2017 January 18 (CST)
** {{discussion}} Shirley, are you saying we need to add this to the drop down? You say you don't use it, so I guess not. If you don't use this sheet are you just trying to make sure we know how [[Accept DtTm]] is collected at the Vic? If so, the info should more likely be in [[VIC ICU Collection Guide]] and/or [[VIC Medicine Collection Guide]]. Ttenbergen 11:27, 2017 January 17 (CST)
 
=== location of accept dttm in EPR ===
It was identified that STB always uses the same source for AcceptDate: from the Dr orders. Still, for completeness of data please enter the source.
* at GGH, the accept time can be taken from the Admission Register from EPR Report Lists; this time=time on Request for admission generated in ER=admit time on pink sheet=time order written "admit to"


==Dates==
==Dates==
===Start Date===
===Start Date===
Target: 2017-Feb-1
Target: 2017-02-1


===End Date===
===End Date===
2017-Mar-31
admission date up to: 2017-03-31 2359
*any admissions after this date and time, no acceptdatesource to be entered.
 
{{Data Integrity Check List|}}
 
== Background ==
Operation Planning - Patient Flow.  Region Managers and Director are monitoring and tracking patient flow from the '''emergency department''' to their unit.  The data helps support any changes needed to improve patient flow from ER to unit.




[[Category: L_TmpV2 Data]]
[[Category: L_TmpV2 Data]]
[[Category: QA]]
[[Category: QA]]
[[Category: All Projects ICU only]]
}}

Latest revision as of 17:04, 2022 April 21

Projects
Active?: legacy
Program: CC and Med
Requestor: Internal
Collection start: 2017-02-01
Collection end: 2017-03-31

Legacy Content

This page contains Legacy Content.
  • Explanation: Project finished
  • Successor:

Click Expand to show legacy content.

Tracking of the source collectors use for Accept DtTm to help us assess quality and consistency of this data.

Collection instructions

For each patient admitted from the ER, enter one or more lines for this project.

Enter one line for each document you came across that you could have used as source for the Accept DtTm, enter the source/document:

  • TMP tab on laptop in CCMDB.accdb
  • Project: AcceptDateSource
  • Item: select the document from #Options for "Item"
  • checkbox/column B: check if this is the document you used for the Accept DtTm
  • Date/column E: enter the date if different from the one you used.
  • Time/column M: enter the time if different from the one you used.
    • If time is not documented leave it blank and enter "no time documentation" into the comment field.
    • If multiple times are documented in a given Item (say Dr Order), enter the earliest time and no need to enter the other times of the same Item. JMojica 10:29, 2017 January 31 (CST)
  • coment/column Q': comment if item is "Guess" or "Other"

Direct Admissions / Transfers who stop in ER

  • See: Accept_DtTm_field#Direct_Admissions.2FTransfers
  • For direct admits but stop in ER and Accept_DtTm recorded, choose the option 'Other' and write in the Comment 'Triage sheet-direct'.

Options for "Item"

Use one of the following for the "Item": {

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