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| Overstay Predictor Project for Medicine [http://ccmdb.kuality.ca/index.php/Minutes_Team_Meeting_December_5,_2011 - collection team meeting discussion]
| | {{Project |
| *Primary Investigator: [[Dr. Dan Roberts]]
| | |ProjectActive=legacy |
| | |ProjectProgram=Med |
| | |ProjectRequestor=Mary Ann Lynch and Dr Eberhard Renner |
| | |ProjectCollectionStartDate=2012-11-05 |
| | |ProjectCollectionStopDate=2019-10-01 |
| | |Project={{PAGENAME}} |
| | }} |
| | {{LegacyContent |
| | |explanation= no more [[overstay]] as of October 1, 2019 |
| | |successor=[[Project Overstay2]] |
| | |content= |
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| == Instructions ==
| | '''''See [[Overstay Predictor Project Collection Instructions]] for collection instructions for this project.''''' |
| For every '''medicine''' patient at the '''Grace''' hospital, '''as soon as possible''', but definitely within 48 business hrs of admission:
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| * find the new "Overstay" form on the chart
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| *for the first 6 check boxes on the form, create a record for each in tmp entries and check the checkbox if the answer is Yes. (one to one from the form, no interpretation necessary)
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| *(I will add a picture of the form here once we have a final version)
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| * Also, enter at least all the following as part of minimal dataset
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| ** DOB
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| ** Admit Date
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| ** ADLs
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| ** whether there was any '''CVA''' or '''Dementia''' as a comorbid
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| ** whether there was a '''stroke''' as an admit diagnosis
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| * Click the new “Overstay” button on the patient viewer form next to the notes field and it will turn a colour:
| | See [[Overstay Project Start Stop dates]] |
| **green - very low risk for discharge issues - answer to all questions was "YES"
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| **yellow - slight risk for discharge issue - answer to ONE of question was "NO"
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| **red - ?
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| **gray- if some data is missing
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| ** If the chart already has a sticker the '''same''' colour then you are done
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| ** if the colour in the program is different from the one on the chart put a sticker of the program colour over the sticker on the chart. Stickers will be supplied.
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| === If you can't find data ===
| | A small number of patients overstays for a significant amount of time after they are medically ready for discharge. Though the number of patients is small, a significant proportion of bed-days is wasted in the process. The Overstay Predictor Project uses an [[Overstay Predictor Project Algorithm | algorithm]] to that uses data collected by the Critical Care and Medicine Database to predict an overstay risk. This risk is communicated to ward staff using a red sticker on charts and a direct communication to the unit manager. |
| * I have emailed Linda to please fill in who the collector should talk to if there are problems with the Overstay form or the other data required for the project in a timely manner.[[User:Ttenbergen|Ttenbergen]] 14:45, 2012 April 23 (CDT)
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| ===Questions=== | | ==Legacy== |
| What does Red mean, not really clear to me in algorithm.[[User:TOstryzniuk|Trish Ostryzniuk]]
| | see [[Overstay Project Start Stop dates | Implementation Dates]] |
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| == Purpose ==
| | {{Data Integrity Check List|}} |
| A small number of patients overstays for a significant amount of time after they are medically ready for discharge. Though the number of patients is small, a significant proportion of bed-days is wasted in the process. We are piloting a process at the Grace where an "overstay coordinator" will be assigned to patients at risk of overstaying. Whether a patient is at risk is determined by the ward nurse assessing risk factors on a form, and by an assessment algorithm that takes into account the values mentioned as mandatory above; the combination of these results in a chart being assigned a colour sticker, and the transition coordinators monitor these chart stickers.
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| | == Related Articles == |
| | {{Related Articles}} |
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| [[Category: All Projects]] | | [[Category: OverstayProject]] |
| | }} |