Multiple Encounter: Difference between revisions

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Patients may show up in our database repeatedly either during the same hospital stay or at a later time. If they show up at a later time, but soon after the last hospital stay, they may qualify as "readmission", which we report in '''<in which, monthly, quarterly, annual or all?>'''
Patients may show up in our database repeatedly. Our [[L_Log]] records are patient-ward-stay based. Once the [[data processor]] completes the [[centralized data Vetting Process]] (i.e. [[PHIN field|PHINs]] are checked and PseudoPHINs are generated) the PHIN field can be used for linking L_Log records for the same patient. This combining data is stored in [[L Person table]] by [[Encounter processing]].


== Multiple Encounters ==
If a patient is never discharged in between L_Log entries it may be a '''[[Continuous Stay]]'''.
<details>


== Readmissions ==
If a patient is discharged and then admitted again at a later time, but soon after the last hospital stay, they may qualify as '''[[Readmission]]'''.  
For our purposes, readmissions are admissions of patients who were recorded by our database recently.  


=== ICU Definition ===
== Multiple encounter longitudinal consistency checks ==
For ICU, a readmission is a patient where
For patients encountered repeatedly some data should be consistent between stays.
* (admit date/time) - (most recent ICU discharge date/time) <= 72 hours
* is '''not''' admitted for planned and scheduled surgery
* might be readmitted from Ward or outside hospital
====Discussion====
* why are we considering the most recent ICU discharge date/time only?[[User:Ttenbergen|Ttenbergen]] 11:36, 28 May 2008 (CDT)


=== Medicine Definition ===
The [[data processor]] runs a set of checks during vetting that attempts to find and make consistent the records for patients encountered previously.
For medicine, a readmission is a patient where
* (admit date/time) - (most recent discharge date/time) <= 7 days after their most recent discharge time
* is admitted from outside hospital
* (Legacy: planned surgery used to be excluded, but this stopped because of insufficient data when we stopped collecting some APACHE elements in the medicine program '''<when?>''')
====Discussion====
* is the detection of med readmits for pts discharged from med previously only, or does it include pts who went home directly from ICU?


{{Data Integrity Check List}}
== Related Articles ==
{{Related Articles}}


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[[Category:Statistical Analysis]]
[[Category:Statistical Analysis]]
[[Category:Multiple Encounter | * ]]