BedHeldEnd DtTm: Difference between revisions

m We'll now collect it for all pts who leave AMA, for completeness and possible cross-checks
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{{Project
{{Project
|ProjectActive=planned
|ProjectActive=active
|ProjectProgram=CC and Med
|ProjectProgram=CC and Med
|ProjectRequestor=???
|ProjectRequestor=internal quality check
|ProjectCollectionStartDate=2023-01-01
|ProjectCollectionStartDate=2023-01-01
|Project={{PAGENAME}}
|Project={{PAGENAME}}
}}
}}
== Data Collection ==
== Data Collection ==
Collect for all patients where beds are held due to '''[[AMA]]''' or procedure at other sites.  
Collect for all patients where beds are held due to '''[[AMA]]''' or procedure at other sites.  
This will '''only''' be recorded in the situations when:  
This will '''only''' be recorded in the following situations when:  
* patient leaves AMA  
* patient leaves AMA  
or
or
* patient goes elsewhere for a procedure, we expect them to return so bed is held but they never do come back
* patient [[Visits to temporary locations]], we expect them to return so bed is held but they never do come back


=== Collection Instructions ===   
=== Collection Instructions ===   
* Project :'''BedHeldEnd DtTm'''
* Project :'''BedHeldEnd DtTm'''
* Items: '''AMA (AWOL)''', '''AMA (Protocol)''' or '''Procedure'''
* Items:  
** '''AMA (AWOL)''' - leaving without consent discussion or permission; The date and time for '''AMA (AWOL)''' will be the discharge date and time as per COGNOS/EPR ie. the date and time that the held bed was given up.  
** '''AMA (Protocol)''' - when a consent discussion regarding the patient's choice to leave before a recommended time has been done and the patient is being asked to sign a form that he/she understands the risks of such decision ; The date and time for '''AMA (Protocol)''' will be the same as the [[Dispo DtTm]], we are collecting it only for completeness and cross-checks.
** '''Procedure''' - patient went elsewhere for proedure and bed was held and patient did not return
** '''Weird Reason''' - reason not covered above
* Date (field E): Discharge date as per ADT (ie when the bed was released)
* Date (field E): Discharge date as per ADT (ie when the bed was released)
* Time (field M): Discharge time as per ADT (ie when the bed was released)
* Time (field M): Discharge time as per ADT (ie when the bed was released)
* Not used: Integer, Real, Checkbox, Comment
* Not used: Integer, Real, Checkbox, Comment


The date and time for '''AMA (Protocol)''' will be the same as the [[Dispo DtTm]], we are collecting it only for completeness and cross-checks.
===Special Scenario ===
* A patient in the ER admitted under medicine service leaves AMA from the ER, A bed on the ward is assigned to the patient (boarding location appears in COGNOS) however the patient never returns to occupy the bed on the ward.  As per the [[Boarding Loc]] instructions, do not enter the second boarding location
This is very rare, but if we do start to notice this happening more frequently we will discuss further.
 


==== Sources ====
==== Sources ====
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*(a) Actual time under care, which is from [[Admit DtTm]]  to the patient's [[Dispo DtTm]] -- we'll call this the patient's length of stay **use for indicators [[LOS Per Record]] or [[LOS Per Service]]
*(a) Actual time under care, which is from [[Admit DtTm]]  to the patient's [[Dispo DtTm]] -- we'll call this the patient's length of stay **use for indicators [[LOS Per Record]] or [[LOS Per Service]]
*(b) What we'll call "Bed Assigned Time", i.e. from [[Admit DtTm]]  to the '''time when the bed is released for reassignment''', which we will call "BedHeldEndTime".  This latter is generally available from Cognos (ADT)
*(b) What we'll call "Bed Assigned Time", i.e. from [[Admit DtTm]]  to the '''time when the bed is released for reassignment''', which we will call "BedHeldEndTime".  This latter is generally available from Cognos (ADT)
===Visit to temporary locations and died===
Follow the guidelines in [[Visits to temporary locations]] for collection of [[Dispo DtTm]] and [[BedHeldEnd DtTm]] in case of a death.


==Collection parameters==
==Collection parameters==
* End Date: planned as continuous collection without an end date
* End Date: planned as continuous collection without an end date
 
==Data Use==
==Data Use==
*[[LOS Per Record]]  
* [[LOS Per Record]]  
*[[LOS Per Service]]
* [[LOS Per Service]]
*[[Bed occupancy]]
* [[Bed occupancy]]
* [[Occupancy For Bed Held]]


== Consistency Checks ==
== Consistency Checks ==
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{{Data Integrity Check List|}}
{{Data Integrity Check List|}}


== To do ==
[[Category:End-of-life related data‏‎]]
{{Todo
| who = Tina
| todo_added = 2022-12-08
| todo_action = 2022-12-08
| question = 
* make CCMDB changes
* edit any related AMA content on wiki
}}
 
{{TT |
After we have 1 month of data we will review if we need to reconsider any [[Indicators]].
}}


== Log ==
== Log ==
* 2023-01-25 added "Weird Reason"
* 2023-01-10 Julie identified data problems in preliminary data and defined required checks, see [[Query check_tmp_BedHeld]]
* 2023-01-01 collection start
* 2022-12-08 made page to validate
* 2022-12-08 made page to validate