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'''. | ||
| indicator_name = Avoidable Days in ICU | | indicator_name = Avoidable Days in ICU | ||
| created_raw = Created | | created_raw = Created | ||
| Line 7: | Line 8: | ||
| indicator_end_date = | | indicator_end_date = | ||
}} | }} | ||
Also see [[Beds occupied by transferrable patients (Critical Care)]] for a similar concept. | |||
==QI domain== | ==QI domain== | ||
* Efficient | * [[QualityDomain::Efficient]] | ||
==Reported as== | ==Reported as== | ||
Percent of total patient days | Percent of total patient days | ||
==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 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 | * 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 | **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]]) | ||
* To be calculated and reported on a monthly, quarterly or yearly basis based on either ICU Admission Dates or ICU Discharge Dates. | * To be calculated and reported on a monthly, quarterly or yearly basis based on either ICU Admission Dates or ICU Discharge Dates. | ||
* For the Director reports, the discharge dates are used as the time of reference. | * For the Director reports, the discharge dates are used as the time of reference. | ||
==Definition and Derivation== | ==Definition and Derivation== | ||
Avoidable days is defined as the total time from date/time of transfer | 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]] 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=== | ||
Avoidable Days (%) = Num / Denom * 100 | Avoidable Days (%) = Num / Denom * 100 | ||
===Example=== | ===Example=== | ||
*Time Reference: Discharge Dates from Jan 1, 2017 to March 31, 2017 | *Time Reference: Discharge Dates from Jan 1, 2017 to March 31, 2017 | ||
*Total Avoidable Days of all patients with transfer | *Total Avoidable Days of all patients with transfer ready date-time= 254.5 | ||
*Total LOS of all ICU discharges = 1175.3 | *Total LOS of all ICU discharges = 1175.3 | ||
*Avoidable Days (%) = 254.5 / 1175.3 * 100= 21.7% | *Avoidable Days (%) = 254.5 / 1175.3 * 100= 21.7% | ||
==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 == | |||
* [[Query check long transfer delay]] | |||
== Data use == | |||
see infobox | |||
==Report Users== | ==Report Users== | ||
*Critical Care Directors and Site Managers | *Critical Care Directors and Site Managers | ||
*Critical Care Quality Improvement Team (QIT) | *Critical Care Quality Improvement Team (QIT) | ||
[[ | |||
== Change Log == | |||
July 1, 2018 - Definition changed "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)" from 4 hrs as per instruction by [[p:Jodi Walker Tweed]]. | |||
[[Category: | == Related articles == | ||
[[Category: | {{Related Articles}} | ||
[[Category: | |||
[[Category:Transfer Ready]] | |||
[[Category:Admit/Discharge]] | |||
[[Category:Length of stay]] | |||