LOS Per Service: Difference between revisions

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{{Reporting Indicators

| description = ICU days (Median)

| description = ICU days (Mean and/or Median)

| indicator_name = {{PAGENAME}}

| created_raw = Created

| program = Critical Care

| indicator_start_date =

| indicator_start_date = 1988-07-11

| indicator_end_date =

| indicator_end_date = 2300-01-01

}}

Usually used in aggregate form as "per location" and/or "per timeframe", e.g. month/quarter/year x Ward/Unit x Hospital.

===QI domain===

*[[QualityDomain::Efficient]]

==Significance==

Length of stay is an important measure for utilization purposes and is frequently used as a measure of ICU resource use. LOS is influenced by many factors but safe and effective critical care should result in a shorter ICU length of stay.

Length of stay (LOS) is an important measure for utilization purposes and is frequently used as a measure of ICU resource use. LOS is influenced by many factors but safe and effective critical care should result in a shorter ICU length of stay.

==Sampling Plan / Procedure==

All ICU admissions. ~~Admissions from Emergency Department are considered an ICU admission when patient physically arrives in the ICU.~~ If transfers occur within ICU’s within the same facility eg. MICU, SICU and IICU, this will be reported as 3 individual length of stays and not one cumulative LOS.

All ICU admissions - see [[Definition of a Critical Care Program Admission]] .

===~~Includion~~ Criteria===

Include all admissions to ICU. ~~Include all~~ patients physically present in a bed ~~under~~ the ~~direct control of the reporting ICU~~ or ~~patients admitted to the care of the ICU but not physically present~~ in ~~an ICU~~ bed.

If transfers occur within ICU’s within the same facility eg. MICU, SICU and IICU, this will be reported as 3 individual length of stays and not one cumulative LOS.

===Inclusion Criteria===

Include all admissions to ICU being taken care by the same service wherever the patients are physically present (in a bed in the unit or in a borrowed bed in another location). See [[Definition of a Critical Care Program Admission]] for further information about which patients are included.

===Exclusion Criteria===

None

===Frequency===

~~Collected at time~~ of ICU ~~discharge; reported~~ on a monthly or quarterly basis as an average and median value ~~or the~~ total value is used as ~~part~~ in the calculation of other indicators.

* Reported when patient had been discharged out of ICU.

* Reported on a monthly or quarterly basis as an average and median value

* Reported as total value when used as denominator in the calculation of other indicators.

==Definition and Derivation==

* ICU ~~Length of stay (ICU_LOS)~~ = ICU discharge date/time – ICU admit date/time (expressed in days)

* ICU LOS = ICU discharge date/time – ICU admit date/time (expressed in days) where ICU discharge date/time = [[Dispo_DtTm]] and ICU admit date/time = [[Admit DtTm]]

where ICU discharge date/time = [[Dispo_DtTm]] and ICU admit date/time = [[~~Arrive_DtTm~~]]

* Average ICU LOS (in days to 1 decimal place)

* Average ~~ICU_LOS~~ (in days to 1 decimal place)

* Median ICU LOS (in days to 1 decimal place)

* Median ~~ICU_LOS~~ (in days to 1 decimal place)

* Total ICU LOS (in days to 1 decimal place)

* Total ~~ICU_LOS~~ (in days to 1 decimal place)

===Numerator===

For Average ~~ICU_LOS~~, the numerator is Sum of Length of ICU stay of all discharges

For Average ICU LOS, the numerator is Sum of Length of ICU stay of all discharges

===Denominator===

For Average ~~ICU_LOS~~, the denominator is Number of discharges

For Average ICU LOS, the denominator is Number of discharges

==Data Sources==

* [[~~Arrive~~ DtTm]] and [[Dispo DtTm]]

* [[Admit DtTm]] and [[Dispo DtTm]]

* Can also be taken from the ~~query~~ [[~~Created_variables_common~~]] of [[CFE]]

* Can also be taken from the [[Created_Variables_CC 2021 table]] of [[CFE]]

==SAS Program==

The SAS program to get the LOS is X:\Julie\SAS_CFE\CFE_macros\logphi.sas and (datetimes.sas ~~or datetime_short.sas )~~

The SAS program to get the LOS is {{S:\MED\MED_CCMED}}Julie\SAS_CFE\CFE_macros\logphi.sas and datetimes.sas

==Report Users==

~~{{discuss | who=Julie | question= What are the details? }}~~

* Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee

* Shared Health Decision Support Officer for Critical Care Dashboard (HSC only)

== Related articles ==

[[Category:Length of stay]]

[[Category:Created Variables]]

[[Category: Length of stay]]

@@ Line 1: / Line 1: @@
 {{Reporting Indicators
-| description = ICU days (Median)
+| description = ICU days (Mean and/or Median)
 | indicator_name = {{PAGENAME}}
 | created_raw = Created
 | program = Critical Care
-| indicator_start_date =
+| indicator_start_date = 1988-07-11
-| indicator_end_date =
+| indicator_end_date = 2300-01-01
 }}
+Usually used in aggregate form as "per location" and/or "per timeframe", e.g. month/quarter/year x Ward/Unit x Hospital.
 ===QI domain===
 *[[QualityDomain::Efficient]]
 ==Significance==
-Length of stay is an important measure for utilization purposes and is frequently used as a measure of ICU resource use.  LOS is influenced by many factors but safe and effective critical care should result in a shorter ICU length of stay.
+Length of stay (LOS) is an important measure for utilization purposes and is frequently used as a measure of ICU resource use.  LOS is influenced by many factors but safe and effective critical care should result in a shorter ICU length of stay.
 ==Sampling Plan / Procedure==
-All ICU admissions. Admissions from Emergency Department are considered an ICU admission when patient physically arrives in the ICU. If transfers occur within ICU’s within the same facility  eg. MICU, SICU and IICU, this will be reported as 3 individual length of stays and not one cumulative LOS.
+All ICU admissions  - see  [[Definition of a Critical Care Program Admission]] .
-===Includion Criteria===
-Include all admissions to ICU.  Include all patients physically present in a bed under the direct control of the reporting ICU or patients admitted to the care of the ICU but not physically present in an ICU bed.
+If transfers occur within ICU’s within the same facility  eg. MICU, SICU and IICU, this will be reported as 3 individual length of stays and not one cumulative LOS.
+===Inclusion Criteria===
+Include all admissions to ICU being taken care by the same service  wherever the patients are physically present (in a bed in the unit or in a borrowed bed  in another location).  See [[Definition of a Critical Care Program Admission]] for further information about which patients are included.
 ===Exclusion Criteria===
 None
 ===Frequency===
-Collected at time of ICU discharge; reported on a monthly or quarterly  basis as an average and median value or the total value is used as part in the calculation of other indicators.
+* Reported when patient had been discharged out of ICU.
+* Reported on a monthly or quarterly basis as an average and median value
+* Reported as total value when used as denominator in the calculation of other indicators.
 ==Definition and Derivation==
-* ICU Length of stay (ICU_LOS) = ICU discharge date/time – ICU admit date/time (expressed in days)
+* ICU LOS = ICU discharge date/time – ICU admit date/time (expressed in days) where ICU discharge date/time = [[Dispo_DtTm]] and ICU admit date/time = [[Admit DtTm]]
- where ICU discharge date/time = [[Dispo_DtTm]] and ICU admit date/time = [[Arrive_DtTm]]
+* Average ICU LOS (in days to 1 decimal place)
-* Average ICU_LOS (in days to 1 decimal place)
+* Median ICU LOS (in days to 1 decimal place)
-* Median ICU_LOS (in days to 1 decimal place)
+* Total ICU LOS (in days to 1 decimal place)
-* Total ICU_LOS (in days to 1 decimal place)
 ===Numerator===
-For Average ICU_LOS,  the numerator is Sum of Length of ICU stay of all discharges
+For Average ICU LOS,  the numerator is Sum of Length of ICU stay of all discharges
 ===Denominator===
-For Average ICU_LOS, the denominator is Number of discharges
+For Average ICU LOS, the denominator is Number of discharges
 ==Data Sources==
-* [[Arrive DtTm]] and [[Dispo DtTm]]
+* [[Admit DtTm]] and [[Dispo DtTm]]
-* Can also be taken from the query [[Created_variables_common]] of [[CFE]]
+* Can also be taken from the [[Created_Variables_CC 2021 table]] of [[CFE]]
 ==SAS Program==
-The SAS program to get the LOS is X:\Julie\SAS_CFE\CFE_macros\logphi.sas and (datetimes.sas or datetime_short.sas )
+The SAS program to get the LOS is {{S:\MED\MED_CCMED}}Julie\SAS_CFE\CFE_macros\logphi.sas and datetimes.sas
 ==Report Users==
-{{discuss | who=Julie | question= What are the details? }}
+* Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee
+* Shared Health Decision Support Officer for Critical Care Dashboard (HSC only)
 == Related articles ==
 {{Related Articles}}
+[[Category:Length of stay]]
+[[Category:Created Variables]]
-[[Category: Length of stay]]