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| == More Info == | | == More Info == |
| *Transfer Delay is reported as one of the following [[Indicators]], see those pages for how specifically it is used there. | | * Transfer Delay is reported as one of the following [[Indicators]], see those pages for how specifically it is used there. |
| **[[Transfer Delay (Critical Care)]] | | ** [[Transfer Delay (Critical Care)]] |
| **[[Transfer Delay (Medicine)]] | | ** [[Transfer Delay (Medicine)]] |
| *'''Transfer Delay''' is a concept involving:
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| **The [[Level of care hierarchy]]
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| **[[Transfer Ready DtTm]] = the date/time when a patient in a location with a given ''Level of Care'' is deemed ready by the care team to be transferred to a '''LOWER''' Level of Care
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| *''Transfer Delay'' is specific to the current Level of Care
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| **At a given Level of Care, it is the interval from the first designation as Transfer-Ready until the first of the following occur:
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| ***Death while at that same Level of Care
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| ***Transfer to a lower Level of Care
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| ***Transfer to a HIGHER Level of Care -- when this occurs, the "clock restarts" for possible Transfer Delay at that higher level
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| *So a single patient, during hospitalization who goes: {Ward --> ICU --> Ward --> ICU} could have Transfer Delays associated with EACH of the 4 locations.
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| == Some Explanations/Rationale ==
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| *The main purpose of tracking Transfer Delays is for administrators to estimate bed needs:
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| **e.g: Delays in transfers out of ICU generally are, in a sense "wasted ICU bed-days", and the cumulative number of ICU days patients spend waiting to leave ICU may indicate both inadequate ward beds AND a possible ability to reduce the number of ICU beds if it were possible to promptly send ICU patients out as soon as they are clinically ready
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| **e.g: Delays in moving a patient -- who is physically in ED but has been admitted to the Medicine service -- to the ward may indicate problems a need for more ward beds, or more effective ED-to-ward transfer
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| *Regarding a patient deemed Transfer-Ready to a lower Level of Care but who before such transfer gets sicker and remains in their current location/level
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| **It might seem like those days after the decision to "cancel" the transfer to a lower Level should not be counted as "wasted" -- however we never know what would have happened if the patient had indeed gone to the lower Level promptly, and it is possible that she/he would ''not'' have gotten sicker if that had occurred.
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| == Related Articles == | | == Related Articles == |