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==

{{Discuss | who=Julie | question= Right now this is slightly inconsistent with [[Definition of an ICU admission]] which doesn't explicitly exclude the ER pts. I have flagged that page for task review. Once that is done, can we just use that definition here as well to ensure consistency? }}

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

All ICU admissions~~. Admissions from Emergency Department are considered an ICU admission when patient physically arrives in the ICU. See~~ [[Definition of ~~an ICU admission]] and [[Identifying ICU admissions~~]] ~~for further information about which patients are included~~.

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. ~~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. See [[Definition of ~~an ICU admission]] and [[Identifying ICU admissions~~]] for further information about which patients are included.

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===

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==Definition and Derivation==

* ICU ~~Length of stay (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 = [[~~Arrive_DtTm~~]]

* 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]]

* 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==

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

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

* Critical Care Quality Officer for HSC Op-Plan (HSC only)

== Related articles ==

[[Category: Length of stay]]

[[Category:Length of stay]]

[[Category:Created Variables]]

@@ 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==
-{{Discuss | who=Julie | question= Right now this is slightly inconsistent with [[Definition of an ICU admission]] which doesn't explicitly exclude the ER pts. I have flagged that page for task review. Once that is done, can we just use that definition here as well to ensure consistency? }}
+All ICU admissions  - see  [[Definition of a Critical Care Program Admission]] .
-All ICU admissions. Admissions from Emergency Department are considered an ICU admission when patient physically arrives in the ICU. See [[Definition of an ICU admission]] and [[Identifying ICU admissions]] for further information about which patients are included.
 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.  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. See [[Definition of an ICU admission]] and [[Identifying ICU admissions]] for further information about which patients are included.
+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===
@@ Line 33: / Line 31: @@
 ==Definition and Derivation==
-* ICU Length of stay (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 = [[Arrive_DtTm]]
+* 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]]
-* 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==
 * Critical Care Directors, Critical Care Unit Managers and WRHA Outcome Improvement Team Committee
 * Shared Health Decision Support Officer for Critical Care Dashboard (HSC only)
-* Critical Care Quality Officer for HSC Op-Plan (HSC only)
 == Related articles ==
 {{Related Articles}}
-[[Category: Length of stay]]
+[[Category:Length of stay]]
+[[Category:Created Variables]]