Parked in ER: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
← Older edit
mNo edit summary
No edit summary
 
(29 intermediate revisions by 4 users not shown)
Line 1: Line 1:
A patient is considered '''parked in ER''' if they are a '''[[direct admit]]''' who gets stuck in the ER.
A patient is considered '''parked in ER''' if they are a '''direct admit''' who gets stuck in the ER.  


== Collection Instruction ==
== Collection Instruction ==
* The [[Visit Admit DtTm field]] and the [[Accept DtTm field]] will be the same
Collection follows regular instructions for the related fields. An unusual scenario would be [[Patients who appear to transfer from in-patient situation to Emergency Room]].
* in Tmp [[Boarding Loc]] enter ER, the date and time will be the same as the [[Visit Admit DtTm field]] and the [[Accept DtTm field]]


{{Discuss |
== Data use / Reporting ==
* All the below seem to be the same as any other pt. Could we just say "Enter [[Previous Location field]], [[Pre-admit Inpatient Institution]], [[Service/Location]], [[Previous Service field]] as for any other patient. " If we duplicate this info here for trivial scenarios then it will get lost if we change process for any of these. Ttenbergen 22:26, 2020 October 18 (CDT)
[[ICU Interfacility Report]] / [[ICU Interfacility Transfer]]
** I would leave it as is for now, it shows the difference between the old way and the new way, once we get used to entering the new way then perhaps we can change it. 
 
*** OK, I'll keep them but in a collapsible so they don't clutter things unless someone expands this. See below. I that's OK, pls remove discussion .Ttenbergen 14:15, 2020 October 19 (CDT)
{{DJ |  
}}
* Does that make this one of the [[Indicators]]? If so we should apply [[Template:Reporting Indicators]] so this is linked and tracked appropriately. If it isn't a separate indicator and only a component of [[ICU Interfacility Transfer]] then it should be added to the template there.  
{{Collapsable
| always= The rest is the same as for any other patient, expand to see details.
| full= 
The following may be out of sync with the linked pages; if it is, please update it with info from the linked pages which is likely the right version. .
* [[Previous Location field]], enter the previous physical location of the patient
**From an inpatient location- the [[Pre-admit Inpatient Institution]] and the [[Previous Location]] will be the same
**Not from an inpatient location- the [[Pre-admit Inpatient Institution]] would be not applicable and the [[Previous Location]] would be their last physical location  e.g. Thompson ER
* [[Service/Location]] would be the generic HSC_Med, GRA_Med, or STB_Med
* [[Previous Service field]], enter the sending service, otherwise enter ''Unknown'' or ''not applicable'' or ''other known but not on list''
* in [[Service tmp entry]] enter the accepting service, with the same date/time as the [[Accept DtTm field]]
* If the patient is transferred to a ward, in Tmp [[Boarding Loc]] enter their Home medicine ward, or bed borrow/contingency location, if they are discharged or transferred to another facility it will be an EMIP. 
* in Tmp enter [[Transfer Ready DtTm]] / [[Transfer Ready DtTm tmp entry]] if applicable, if not transfer ready check off column B
}}
{{Discuss | who =  Julie |
* Does this make [[Previous Location]] entry "STB - ER (parked)" etc defunct? Or should those still be used? If defunct, pls let me know when the last pt that uses these is sent so I can remove them from [[S dispo table]]. If not defunct, how should those now be used? Ttenbergen 22:40, 2020 October 18 (CDT)
}}
}}
 
*Patient Flow - where patient were admitted FROM
== Data use / Reporting ==
What reports use this?
*[[Critical Care Inter-facility Transfer Report]]
inter facility transfers report (semi annual and Fiscal year) given to Critical Care Admin Director and Quality Officer.
*Patient Flow - where patient were have been admitted FROM


How is it used?
How is it used?
Line 60: Line 39:


== Legacy info ==
== Legacy info ==
This used to be collected as [[Parked in ER tmp entry]].  
* [[CCMDB.accdb Change Log 2020#2020-12-15 | 2020-12-15]] - finally inactivated [[S dispo table]] *(parked) entries
* 2020-10-18 - [[Special:Diff/54236 | "Previous Location field" page edit]] removed the exception instruction for parked in ER
* 2020-Oct - Changed as of [[PatientFollow_Project]], see [[Service tmp entry#Direct Admissions/Transfers]]
* [[Task Team Meeting - Rolling Agenda and Minutes 2020#ICU Database Task Group Meeting - February 12, 2020 | 2020-02-12]] - decision to do away with this concept because of its many problems
* [[CCMDB.mdb Change Log 2017#2017-12-07-2 | 2017-12-07]] changed the ER (Direct) to ER (Parked) (this would not affect data since it's actually stored as an ID)
* 2017-10-12  '''<hosp> - ER (parked)''' entries documented in [[Special:Diff/146572/145821 | "Parked in ER tmp entry" page edit]]
* [[CCMDB.mdb_Change_Log_2017#2017-10-10-2|2017-10-10]] added [[Parked in ER tmp entry]]
* [[Registry collection changes 2016-07-01 | 2016-07-01]] - replaced by [[Off ward field]] = P
* at beginning of documentation [[ICU Var 4 - Parked in ER]]


== Related articles ==  
== Related articles ==  
{{Related Articles}}
{{Related Articles}}


[[Category: Admit/Discharge]]
[[Category:Admit/Discharge]]
[[Category: Overflow]]
[[Category:Overflow]]
[[Category:2016 Time and Place changes]]

Latest revision as of 22:06, 30 July 2025

A patient is considered parked in ER if they are a direct admit who gets stuck in the ER.

Collection Instruction

Collection follows regular instructions for the related fields. An unusual scenario would be Patients who appear to transfer from in-patient situation to Emergency Room.

Data use / Reporting

ICU Interfacility Report / ICU Interfacility Transfer


  • SMW


  • Cargo


  • Categories
  • Patient Flow - where patient were admitted FROM

How is it used?

  • To distinguish the reason of transfer due to bed management reason
  • To distinguish the reason of transfer due Medical Necessity reason
  • To determine the flow of patients from teaching hospital to teaching hospital, teaching to community, community to teaching, community to community, from outside city/province facility to regional hospital.

Data to be Reported

  • for Inpatient direct admit
    • Site Ward via ED
    • Site ICU via ED
  • For Non Inpatient direct Admit (e.g. Emergency, Ambulatory Clinic, PCH, Home, Nursing Station)
    • Site Emergency via ED
    • Site Ambulatory via ED
    • PCH via ED
    • Home via ED
    • Nursing Station via ED

related concepts

Data Integrity Checks (automatic list)

none found

Legacy info

Related articles

Related articles:
Retrieved from "https://ccmdb.kuality.ca/index.php?title=Parked_in_ER&oldid=167237"