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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|explanation=tmp project made permanent as [[Previous Service field]]
|successor=[[Previous Service field]]
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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.
When you enter a new ICU patient a "Srv to ICU" will be automatically generated with item '''zz_enter'''. Before you can check the tmp checkbox this item has to be changed to one of the following:
* one of the sending services as per dropdown if applicable
* '''z_not an inpatient''' - if the patient was not an inpatient, eg came from home, usually only happens in CCU
* '''z_not applicable''' - pt moving from one ICU to another (including from CCU, '''don't use cardiology'' for this)
* '''z_other''' - any others such as EENT surgery at STB
* '''z_unknown''' - if unknown service for patients coming from ward or OR or RR
*  - 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)
These are the "Srv to ICU" Project entries in [[s_tmp table]]


=== special case - ER -> OR -> ICU ===
[[Category:L_TmpV2 Data]]
* Scenario: 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.
* Collection: 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 code Service Sending with the specific service. 
{{discussion}} Would pt ever go to OR without having been accepted? Ttenbergen 17:39, 2016 March 21 (CDT)
 
=== How to determine? ===
Go and find out. Ask on the ward. Talk to people. 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.
 
== 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)
*** need to look into Ttenbergen 16:58, 2016 March 21 (CDT)
 
 
[[Category: L_TmpV2 Data]]
[[Category: Special Short Term Projects]]
[[Category: All Projects ICU only]]
[[Category: Dispo]]
 
[[Category: Site Specific Collection Guide]]
[[Category: St Boniface Hospital Office (Critical Care)]]
== why a STB CC topic? ==
{{discussion}} why would this be in the STB Critical Care category specifically? Or the Site Specific Collection Guide? If not answered by next review I will remove category. Ttenbergen 16:58, 2016 March 21 (CDT)

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