Avoidable Days (Critical Care): Difference between revisions
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{{Reporting Indicators | {{Reporting Indicators | ||
| description = Avoidable Days in ICU is proportion of ICU total patient days being spent occupying an ICU bed when the patient no longer requires the intensity of care provided in an ICU setting. | | description = Avoidable Days in ICU is the proportion of ICU total patient days being spent occupying an ICU bed when the patient no longer requires the intensity of care provided in an ICU setting. Another term used to call it is '''% Wasted beds'''. | ||
Another | |||
| indicator_name = Avoidable Days in ICU | | indicator_name = Avoidable Days in ICU | ||
| created_raw = Created | | created_raw = Created | ||
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| indicator_end_date = | | indicator_end_date = | ||
}} | }} | ||
Also see [[Beds occupied by transferrable patients (Critical Care)]] for a similar concept. | |||
==QI domain== | ==QI domain== | ||
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==Significance== | ==Significance== | ||
Avoidable days | Avoidable days reflect the amount of time that patients occupy an ICU bed when the patient no longer requires the intensity of care provided in an ICU setting. It can identify and quantify issues around flow out of the ICU. | ||
==Sampling Plan / Procedure== | ==Sampling Plan / Procedure== | ||
===Inclusion Criteria=== | ===Inclusion Criteria=== | ||
100% of all patients physically present in an ICU bed awaiting transfer out of the ICU and having a date value on the [[Transfer Ready DtTm field]] | 100% of all patients physically present in an ICU bed awaiting transfer out of the ICU and having a date value on the [[Transfer Ready DtTm field]] | ||
*For the Critical Care Report, the Directors and QIT agreed to separate the transfer to IICU from the rest of the locations (to home, to ward, to outside hospital ward, rehab, PCH and those who died but have transfer ready date_time | *For the Critical Care Report, the Directors and QIT agreed to separate the transfer to IICU and H6 from the rest of the locations (to home, to ward, to outside hospital ward, rehab, PCH) and those who died but have transfer ready date_time - start date Jan to March 2018 Qtr report. | ||
===Exclusion Criteria=== | ===Exclusion Criteria=== | ||
Avoidable days exclude those with transfer ready date_time and went to HSC IICU and HSC H6 in [[Dispo]] | |||
===Frequency=== | ===Frequency=== | ||
* Once the transfer ready date has been written and the allowable 2.0 hours has elapsed, compute [[Transfer Delay]] or the total time it takes for ICU patient to leave the unit. | * Once the transfer ready date has been written and the allowable 2.0 hours has elapsed, compute [[Transfer Delay (Critical Care)]] or the total time it takes for ICU patient to leave the unit. | ||
**If no time is indicated with the transfer ready date_tm field a proxy time of 10:00 am for day shift and midnight for night shift will be used for calculation purposes. | **If no time is indicated with the transfer ready date_tm field a proxy time of 10:00 am for day shift and midnight for night shift will be used for calculation purposes. | ||
* To be completed at time of discharge from ICU, compute the total days spent in ICU (refer as [[LOS]]) | * To be completed at time of discharge from ICU, compute the total days spent in ICU (refer as [[LOS]]) | ||
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Avoidable days is defined as the total time from date/time of transfer ready to date/time transfer out of ICU (in hours) less 2.0 hours (and divided by 24 to give yield total avoidable days) | Avoidable days is defined as the total time from date/time of transfer ready to date/time transfer out of ICU (in hours) less 2.0 hours (and divided by 24 to give yield total avoidable days) | ||
*Refer to the definition of [[Transfer Ready DtTm]] | *Refer to the definition of [[Transfer Ready DtTm]] and [[Transfer Delay (Critical Care)]] | ||
===Numerator=== | ===Numerator=== | ||
Num = Total [[Transfer Delay]] in a given period | Num = Total [[Transfer Delay (Critical Care)]] in a given period | ||
===Denominator=== | ===Denominator=== | ||
Denom =Total | Denom =Total [[LOS Per Service]] (ICU) Days on the same period as the numerator | ||
===Formula=== | ===Formula=== | ||
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==Data Sources== | ==Data Sources== | ||
* | * [[Transfer Delay (Critical Care)]] | ||
* | * [[LOS Per Service]] | ||
==SAS Program== | ==SAS Program== | ||
{{S:\MED\MED_CCMED}}Julie\SAS_CFE\CFE_macros\logphiunit.sas | |||
== Data Integrity Checks == | == Data Integrity Checks == | ||
* [[Query check long transfer delay]] | * [[Query check long transfer delay]] | ||
== Data use == | |||
see infobox | |||
==Report Users== | ==Report Users== | ||
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[[Category: Transfer Ready]] | [[Category:Transfer Ready]] | ||
[[Category: Admit/Discharge]] | [[Category:Admit/Discharge]] | ||
[[Category: Length of stay]] | [[Category:Length of stay]] | ||