ER Delay: Difference between revisions

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{{Data_element
{{Data_element
| field_name = ER Delay
| field_name = ER Delay
| element_description = The ER Delay is the difference between the [[Accept DtTm]] and [[Arrive_DtTm]] for patients arriving from the ER.
| element_description = The ER Delay is the difference between the pre-ER [[Boarding Loc]] and first post-ER [[Boarding Loc]], for patients arriving from the ER.
| in_table = Created_variables_common
| in_table = Created_Variables_Common_2021 table
| data_type = date
| data_type = date
| datafield_length = n/a
| datafield_length = n/a
Line 10: Line 10:
}}
}}


It's is calculated by [[created_variables_common_maker query |''created_variables_common_maker'' query]] and stored in [[created_variables_common table |''created_variables_common'' table]] in [[CFE]].  
It's is calculated by [[Created_Variables_Common_maker_2021 query]] and stored in [[Created_Variables_Common_2021 table]] in [[CFE]]. It is related to one of our [[Indicators]], [[Length_of_Time_for_Transfer_from_ED_to_ICU_within_same_facility]].  


== data use ==
== Data use ==
* Measure the time spent using ER bed/facilities/staff while already accepted under a Medicine or Critical Care Service.
* Measure the time spent using ER bed/facilities/staff while already accepted under a Medicine or Critical Care Service.
*Measure the delay of movement of patient from ER bed to Medicine or Critical Care bed.
* Measure the delay of movement of patient from ER bed to Medicine or Critical Care bed.


=={{CCMDB Data Integrity Checks| ready to implement}} ==
== ER Delay Calculation ==
The data collector will receive an error if the ER Delay is greater than:   
* Before Oct 2020 : If [[Previous Location]] is own ER 
* CC - 9 hours
** Non-EMIP / Non-ECIP :  [[Arrive DtTm]] - [[Accept DtTm]]  and  [[Accept DtTm missing]] is not marked
* Med – 44 hours
*** if [[Accept DtTm missing]] is marked then ER Delay is missing.
** EMIP/ECIP: [[Dispo DtTm]] - [[Accept DtTm]]
*Starting Oct 2020 : if first [[Boarding Loc]] is own ER
** Only one ER [[Boarding Loc]]: [[Dispo DtTm]] - first ER [[Boarding Loc]] start Dttm
** At least two  [[Boarding Loc]]: First NonER [[Boarding Loc]] start Dttm - first ER  [[Boarding Loc]] start Dttm


{{discussion}} as of 2017-10-17 Julie would like that cross check; Tina needs to implement it still.
Implemented as
:: ER_Delay:
::: IIf(Not [PatientFollow],
:::: IIf([location_name] Like "*EMIP*",[Dispo_DtTm],[Arrive_DtTm])-Nz([Accept_dttm],
:::: [Arrive_dttm]),Nz([created_FirstNonER_BoardingLoc].[dttm],[Dispo_DtTm])-[created_FirstER_BoardingLoc].[dttm])
 
=== Outliers ===
==== ED stays in mid-hospitalization ====
* there are occasions where pts go back to the ED while under the care of ICU; we do not include these in ER Delays; discussed at [[JALT_Meeting_-_Rolling_Agenda_and_Minutes_2023#JALT_Meeting_%E2%80%93_October_31,_2024 | JALT 2024-10-31]]...
 
==== Moves for Medicine ====
{{DJ |
* This data is problematic before 2011-Q2,the only reason there are any is because it derives them for EMIPs. Some data may be available in [[Moves for Medicine]], but that would still leave a gap.  [[User:Ttenbergen|Ttenbergen]] 23:09, 2024 November 16 (CST)
** OK, will be working on this getting data from [[Moves for Medicine]] from period Sept 2007 to June 3, 2011.  will give to Pagasa for upload to [[Arrive DtTm field]].  I will update the WIKI as soon as done.  Conclusion: for Medicine, prior Sept 2007, no ER delay while for Critical Care, no ER Delay prior July 1, 2016 -- these are treated as missing.  --[[User:JMojica|JMojica]] 16:35, 2024 December 11 (CST)}}
 
== Log ==
{{Discuss |
* I have re-updated [[Created_Variables_Common_maker_2021 query]], for some reason the change I had made was not reflected in the master version. Ready to test. [[User:Ttenbergen|Ttenbergen]] 13:25, 2022 June 28 (CDT)
** emailed Tina some inconsistencies found in ER Delays Aug 15,2022. --[[User:JMojica|JMojica]] 13:21, 2022 August 29 (CDT)
*** are these still an issue? [[User:Ttenbergen|Ttenbergen]] 11:15, 2024 May 1 (CDT)
**** I will re-check again.  Can't remember if have been resolved. --[[User:JMojica|JMojica]] 14:40, 2024 October 2 (CDT)}}
 
* 2022-06-28 - previous change got lost somehow, re-applied it; updated query to use [[query created_PatientFollow]] rather than in-query definition
* 2022-06-09 - updated [[Created_Variables_Common_maker_2021 query]] with the new definition.  
 
{{Data Integrity Check List}}


== related fields ==
== related fields ==
* [[Accept DtTm]]
* [[Boarding Loc]] DtTms
* [[Arrive_DtTm]]  
* [[LOS]]
* [[LOS]]
* [[Transfer Delay]]
* [[Transfer Delay]]


== Reporting and Analysis ==
== Reporting and Analysis ==
The SAS Program to read the data is in X:\Julie\SAS_CFE\CFE_macros\CFE_ERWait_Moves.sas
The SAS Program to read the data is in X:\Julie\SAS_CFE\CFE_macros\datetimes.sas
 
{{DJ|
* I just had a look at that sas file (they open as text files) to see how you define transfer delay. If that file is still being used we may have a problem, it still defines tdelay different if a pt goes to a higher level of care, goes AMA or dies, and we changed that some time ago. So is this still the reference of how you calculate this? [[User:Ttenbergen|Ttenbergen]] 22:50, 2024 November 16 (CST)
}}


== Legacy ==
== Legacy ==
Used to be collected as [[ER Wait]] and before that as [[Moves for Medicine]].  
* Used to be just the difference between the ''Accept DtTm'' and ''Arrive_DtTm'' for patients arriving from the ER.
* Used to be collected as [[ER Wait]] and before that as [[Moves for Medicine]].  
 
== Related articles ==
{{Related Articles}}
 


[[Category: Reporting]]
[[Category:Reporting]]
[[Category: Admit/Discharge]]
[[Category:Admit/Discharge]]
[[Category:Created Variables]]

Latest revision as of 22:35, 17 December 2024

Data Element (edit)
Field Name: ER Delay
CCMDB Label: not stated
CCMDB tab: not stated
Table: Created_Variables_Common_2021 table
Data type: date
Length: n/a
Program: Med and CC
Created/Raw: Created
Start Date: 1988-07-11
End Date: 2300-01-01
Sort Index: 8

The ER Delay is the difference between the pre-ER Boarding Loc and first post-ER Boarding Loc, for patients arriving from the ER.

  • SMW

Legacy implementation right in the table

  • Cargo


  • Categories
  • Forms


It's is calculated by Created_Variables_Common_maker_2021 query and stored in Created_Variables_Common_2021 table in CFE. It is related to one of our Indicators, Length_of_Time_for_Transfer_from_ED_to_ICU_within_same_facility.

Data use

  • Measure the time spent using ER bed/facilities/staff while already accepted under a Medicine or Critical Care Service.
  • Measure the delay of movement of patient from ER bed to Medicine or Critical Care bed.

ER Delay Calculation

Implemented as

ER_Delay:
IIf(Not [PatientFollow],
IIf([location_name] Like "*EMIP*",[Dispo_DtTm],[Arrive_DtTm])-Nz([Accept_dttm],
[Arrive_dttm]),Nz([created_FirstNonER_BoardingLoc].[dttm],[Dispo_DtTm])-[created_FirstER_BoardingLoc].[dttm])

Outliers

ED stays in mid-hospitalization

  • there are occasions where pts go back to the ED while under the care of ICU; we do not include these in ER Delays; discussed at JALT 2024-10-31...

Moves for Medicine

  • This data is problematic before 2011-Q2,the only reason there are any is because it derives them for EMIPs. Some data may be available in Moves for Medicine, but that would still leave a gap. Ttenbergen 23:09, 2024 November 16 (CST)
    • OK, will be working on this getting data from Moves for Medicine from period Sept 2007 to June 3, 2011. will give to Pagasa for upload to Arrive DtTm field. I will update the WIKI as soon as done. Conclusion: for Medicine, prior Sept 2007, no ER delay while for Critical Care, no ER Delay prior July 1, 2016 -- these are treated as missing. --JMojica 16:35, 2024 December 11 (CST)
  • SMW


  • Cargo


  • Categories

Log

  • I have re-updated Created_Variables_Common_maker_2021 query, for some reason the change I had made was not reflected in the master version. Ready to test. Ttenbergen 13:25, 2022 June 28 (CDT)
    • emailed Tina some inconsistencies found in ER Delays Aug 15,2022. --JMojica 13:21, 2022 August 29 (CDT)
      • are these still an issue? Ttenbergen 11:15, 2024 May 1 (CDT)
        • I will re-check again. Can't remember if have been resolved. --JMojica 14:40, 2024 October 2 (CDT)
  • SMW


  • Cargo


  • Categories

Data Integrity Checks (automatic list)

 AppStatus
Query s tmp Boarding Loc ER delay reasonableCCMDB.accdbimplemented

related fields

Reporting and Analysis

The SAS Program to read the data is in X:\Julie\SAS_CFE\CFE_macros\datetimes.sas


  • I just had a look at that sas file (they open as text files) to see how you define transfer delay. If that file is still being used we may have a problem, it still defines tdelay different if a pt goes to a higher level of care, goes AMA or dies, and we changed that some time ago. So is this still the reference of how you calculate this? Ttenbergen 22:50, 2024 November 16 (CST)
  • SMW


  • Cargo


  • Categories

Legacy

  • Used to be just the difference between the Accept DtTm and Arrive_DtTm for patients arriving from the ER.
  • Used to be collected as ER Wait and before that as Moves for Medicine.

Related articles

Related articles:
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