Service Sending to ICU: Difference between revisions

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'' for tracking which service is taking care of a patient in STB CCU, see [[CCU Service Tracking]] instead
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== Purpose ==
To identify the "sending service" or "originating service" for those patients's who where already in a '''prior''' '''inpatient''' location before coming to the ICU. (refer to Task Meeting Minutes April 13,2015). 
Note:  This is different to the "service of the attending" during the patient's stay in ICU.


== Data Collection Instructions ==
Content removed to prevent it from showing up in searches, see history if you need it.  
=== for which patients to code ===
For each patient who meets the following conditions:
:* '''critical care''' patient
:* was an '''inpatient''' before coming to ICU (even if arrived via temp location such as ER, procedure suite, OR or RR)
:* doesn't arrive from another ICU (i.e. not an inter or intra transfer)
:*The service is consulted in emergency, an OR or procedure is planned and an ICU stay is planned post-op but the patient was not on an inpatient ward.We need to know are we including patients from emergency or not in these cases? Collectors are doing this differently so we need to know.
:** If the patient had been accepted to a service, ie admitted and therefore now an inpatient, even if they were still physically in the ER, then '''yes, do'' code Service Sending with the specific service. However, if the pt was in ER but not accepted by any service and then they are sent up to the ICU, (or to another ICU in the city), then put in "not an inpatient" in service sending. --[[User:LKolesar|LKolesar]] 13:35, 2015 December 14 (CST)
**For patients moving from one ICU to another ICU, use "not applicable" in the service sending tmp.  --[[User:LKolesar|LKolesar]] 13:35, 2015 December 14 (CST)
==Questions or Comments==
*Just wondered why Nephrology is not listed in the services?  I know we can put "other" but it would seem that this particular service is important and should perhaps be on the list??--[[User:LKolesar|LKolesar]] 13:37, 2016 February 19 (CST)


=== how to code ===
These are the "Srv to ICU" Project entries in [[s_tmp table]]
add a '''single''' tmp entry with the following:
:* '''Project''': '''Srv to ICU'''
:* '''item''': the sending service, in case of OR, the service of the OR physician:
:** Cardiac surgery
:** Cardiology
:** Family Medicine (only relevant at sites that have family medicine)
:** General surgery (including ACSS and Trauma surgery)
:** Medicine
:** Neurosurgery
:** Ob/Gyne
:** Ortho surgery
:** Plastic surgery
:** Psych
:** Thoracic surgery
:** Urologic surgery
:** Vascular surgery
:** '''z_not an inpatient'''
:** '''z_not applicable''' - in this case an entry to the comment field in tmp will be required. (z_ to sort to bottom)
:** '''z_other''' - any others such as EENT surgery at STB
:** '''zz_other''' - the entry automatically put in for new CC patients, not accepted as final entry when checking tmp checkbox


The other tmp fields are '''not used''' (except in "not applicable" scenario)
[[Category:L_TmpV2 Data]]
 
=== How to determine? ===
Go and find out. Ask on the ward. Talk to people. And: "in EPR there is a pt provider section that shows what service(s) the pt has been under, as well there is often an indication of service change in the EPR orders section [[User:Lkaita|Lisa Kaita]] 12:22, 2015 July 15 (CDT)"
 
== Start/End Dates ==
*Start: 2015-06-22
*End: there is no planned end date
 
=={{CCMDB Data Integrity Checks}}==
When you enter a new ICU patient a "Srv to ICU" will be automatically generated.
* If that record is missing, you can't checkbox tmp
* If that record has "enter" or "" as item, you can't checkbox tmp
 
=== currently impossible ===
* Query ''s_tmp_Service_Sending_to_ICU'' - Error if:
** not admitted from inpatient location (([[S AdmitDischarge table|S AdmitDischarge]].inpatient = true)) but has "Srv to ICU" entry
** admitted from inpatient location and one of
*** no "Srv to ICU" entry
*** has "Srv to ICU" = "z_not applicable" and no comment
Right now our consistency check would not allow someone from other hosp via ER. We won't be able to do this check until we have [[PrevInptLocation field]]. I will take that check out for now. Ttenbergen 11:50, 2015 June 24 (CDT)
* Query ''s_tmp_Service_Sending_to_ICU_duplicate'' - error if more than one entry per patient Ttenbergen 15:35, 2015 June 22 (CDT)
 
== SAS Program ==
* The data is saved in table L_TmpV2 under project "Srv to ICU" of the centralized_data.mdb
* The SAS program that reads the data is in X:\Julie\SAS_CFE\CFE_macros\CFE_ServiceSendingtoICU.sas
 
== See also ==
* [[STB Cardiac Care patients]]
* [[Registry Patient Type]]
 
== to do before go live ==
* [[Registry_Patient_Type#C-Cardiac_Type]] - awaiting confirmation
** "Once this tmp study section is active we can go back to making the pt type relate to the type of diagnosis." (Laura K)
 
 
[[Category: L_TmpV2 Data]]
[[Category: Special Short Term Projects]]
[[Category: All Projects ICU only]]
[[Category: St Boniface Hospital Office (Critical Care)]]
[[Category: Site Specific Collection Guide]]
[[Category: Dispo]]

Latest revision as of 12:00, 30 July 2025

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These are the "Srv to ICU" Project entries in s_tmp table