Parked in ER: Difference between revisions

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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]]


{{Collapsable
== Data use / Reporting ==
| always= The rest is the same as for any other patient, expand to see details.
[[ICU Interfacility Report]] / [[ICU Interfacility Transfer]]
| 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. .
{{DJ |
* [[Previous Location field]], enter the previous physical location of the patient
* 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.  
**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 |
*Patient Flow - where patient were admitted FROM
* 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)
** Whatever is decided is fine, just wondering what to enter for previous location in these instances? [[User:Ppiche|Pamela Piche]] 13:13, 2020 November 24 (CST)
*** Enter them as if they were not a direct admit. If we had never had such a concept you'd enter them as coming from ER, right? [[User:Ttenbergen|Ttenbergen]] 16:15, 2020 November 25 (CST)
****The question above implies a discussion, the previous location collection change (from ie. ER parked entry to ER) is embedded/hidden in the example and should be clearly visible and included in collection instructions above otherwise could be easily missed
***** I see your point. And that's why I don't think we should write the details like that on this page, just referring to the other page is better. I didn't want the explicit details here, that's why I added "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." at the top of the list of details. I will confirm with Julie that the "*ER (parked)" entries can be inactivated.
Chances are they can't just be inactivated because people are still using them, so if we want them gone we need to do something about it. [[User:Ttenbergen|Ttenbergen]] 21:49, 2020 November 26 (CST)
* yes defunct this as of Oct 16, 2020. --[[User:JMojica|JMojica]] 14:07, 2020 November 27 (CST)
}}
 
== 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?
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== 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:
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