Bed borrow: Difference between revisions

(9 intermediate revisions by 2 users not shown)

Line 5:

== Currently collected concepts ==

* [[Boarding Loc]]

* [[~~Accept DtTm~~]]

* [[Service tmp entry]]

==~~= Exception: [[EMIP]] =~~==

== Legacy concepts ==

~~{{DT | is this about to change with~~ [[Boarding Loc]]~~? }}~~

The following concepts were collected separately before [[Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry]]:

~~EMIP patients are essentially bed borrows in the Emergency Room, but we collect and are specifically interested in this group, so follow the~~ [[EMIP]] ~~collection instructions for these patients.~~

* [[EMIP]]

* [[Direct admit]]

~~=== [[Parked in ER]] ===~~

~~{{DT | is this about to change with~~ [[~~Boarding Loc]]? }}~~

~~A patient is considered parked in ER if they are a direct~~ admit ~~but when they arrive a bed is borrowed in the ER. The location they came from is encoded as [[Accept Loc Park~~]].

== Background ==

The concept is important because it affects the [[Previous Location field]], [[Service/Location field]], [[Dispo field]], various cross-checks, and concepts like [[EMIP]], [[Boarding Loc]], [[Definition of ~~an ICU admission~~]] and [[Definition of a Medicine ~~Service admission~~]].

The concept is important because it affects the [[Previous Location field]], [[Service/Location field]], [[Dispo field]], various cross-checks, and concepts like [[EMIP]], [[Boarding Loc]], [[Definition of a Critical Care Program Admission]] and [[Definition of a Medicine Program Admission]].

=== Circumstances leading to bed borrows ===

Line 25:

Line 22:

* post angio monitoring because pre and post procedure in angio is closed in late evening and night shifts.

* medicine borrows a ICU bed for [[Cardioversion]]

~~{{DiscussTask | Wouldn't "medicine borrows a ICU bed for [[Cardioversion]]" be a case of [[Bed holds]] instead of a borrow? Same for several others above...~~

}}

=== Considerations ===

Bed-borrowing in other locations has always occurred but appear to becoming more common.

~~In the meantime, our [[Definition of an ICU admission]] stands and '''excludes''' bed borrows.~~

=== Implication: mis-estimation of workload ===

Line 38:

Line 31:

== Legacy concepts, or considered but never implemented ==

* [[ECIP]]

* [[Moves for Medicine]]}}

* [[Moves for Medicine]]

==Related articles ==

@@ Line 5: / Line 5: @@
 == Currently collected concepts ==
 * [[Boarding Loc]]
-* [[Accept DtTm]]
+* [[Service tmp entry]]
-=== Exception: [[EMIP]] ===
+== Legacy concepts ==
-{{DT | is this about to change with [[Boarding Loc]]? }}
+The following concepts were collected separately before [[Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry]]:
-EMIP patients are essentially bed borrows in the Emergency Room, but we collect and are specifically interested in this group, so follow the [[EMIP]] collection instructions for these patients.
+* [[EMIP]]
+* [[Direct admit]]
-=== [[Parked in ER]] ===
-{{DT | is this about to change with [[Boarding Loc]]? }}
-A patient is considered parked in ER if they are a direct admit but when they arrive a bed is borrowed in the ER. The location they came from is encoded as [[Accept Loc Park]].
 == Background ==
-The concept is important because it affects the [[Previous Location field]], [[Service/Location field]], [[Dispo field]], various cross-checks, and concepts like [[EMIP]], [[Boarding Loc]], [[Definition of an ICU admission]] and [[Definition of a Medicine Service admission]].
+The concept is important because it affects the [[Previous Location field]], [[Service/Location field]], [[Dispo field]], various cross-checks, and concepts like [[EMIP]], [[Boarding Loc]], [[Definition of a Critical Care Program Admission]] and [[Definition of a Medicine Program Admission]].
 === Circumstances leading to bed borrows ===
@@ Line 25: / Line 22: @@
 * post angio monitoring because pre and post procedure in angio is closed in late evening and night shifts.
 * medicine borrows a ICU bed for [[Cardioversion]]
-{{DiscussTask | Wouldn't "medicine borrows a ICU bed for [[Cardioversion]]" be a case of [[Bed holds]] instead of a borrow? Same for several others above...
-}}
 === Considerations ===
 Bed-borrowing in other locations has always occurred but appear to becoming more common.
-In the meantime, our [[Definition of an ICU admission]] stands and '''excludes''' bed borrows.
 === Implication: mis-estimation of workload ===
@@ Line 38: / Line 31: @@
 == Legacy concepts, or considered but never implemented ==
 * [[ECIP]]
-* [[Moves for Medicine]]}}
+* [[Moves for Medicine]]
 ==Related articles ==