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Definition of a Critical Care Program Admission: Difference between revisions

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This page defines what would be a profile (aka "record") in the Critical Care portion of the database (see also [[Definition of a Medicine Laptop Admission]]).  
This page defines what would be a profile (aka "record") in the [[Critical Care program]] portion of the database (see also [[Definition of a Medicine Program Admission]]). There are some differences in CC and Med collection, see [[ICU Curriculum]]/[[Medicine Curriculum]].
 
A Critical Care profile constitutes all care under a given ICU service team. Thus when a patient changes service, a new record is begun. If a patient moves locations, but remains on the same ICU service, no new record is begun.
 


A [[Critical Care]] profile constitutes all care under a given ICU service team. Thus when a patient changes service, a new record is begun. If a patient moves locations, but remains on the same ICU service, no new record is begun.


It is relevant for [[Using Cognos2 to keep track of patients]] general data use.  
It is relevant for [[Using Cognos2 to keep track of patients]] general data use.  
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*# Pts in ICU for procedures only who are never actually under the ICU service: These patients are, by definition, not ICU patients, and clearly DO fall under the general rule.  But they may be tricky if it is not recognized that they were never under the care of the ICU team.
*# Pts in ICU for procedures only who are never actually under the ICU service: These patients are, by definition, not ICU patients, and clearly DO fall under the general rule.  But they may be tricky if it is not recognized that they were never under the care of the ICU team.


=== From Code Blue ===
=== From Code Blue / [[Respiratory arrest]] ===
* The ICU team '''does not take over main/overall care of a patient DURING a code on the ward'''. When the ICU team runs a ward code, they are just performing a procedure (ACLS) for the ward team. We only consider the ICU team as taking over care IF once the patient has survived the code (or possibly in between arrests), the ICU team has agreed to do so.  So, this is not automatic. The main way this will be noted is that the Medicine ward resident will almost certainly write a note indicating this.
* The ICU team '''does not take over main/overall care of a patient DURING a code on the ward'''. When the ICU team runs a ward code, they are just performing a procedure (ACLS) for the ward team. We only consider the ICU team as taking over care IF once the patient has survived the code (or possibly in between arrests), the ICU team has agreed to do so.  So, this is not automatic. The main way this will be noted is that the Medicine ward resident will almost certainly write a note indicating this.


{{DA|
 
* moved the following slightly inconsistent info here from [[Service tmp entry]]:
 
::* ''the ICU team is considered as having accepted the patient when they arrive on the scene if the patient is successfully resuscitated and goes to a unit''
 
* I think the wording that was in this page already is more precise, but is it what STB actually does? [[User:Ttenbergen|Ttenbergen]] 13:55, 2021 December 2 (CST)
=== Patients accepted to ICU service who never physically arrived in an ICU [[Boarding Loc]] ===
** AG RESPONSE --- Tina, I don't see this language in the Service tmp entry.  Did you already remove it?
As per Bojan for those that are [[ECIP]]: If the patient was to be admitted to initial site ICU but there was a lack of bed capacity then I would consider that an admission that then was transferred however if there was no intention to admit to site unit because patient needed services at another site ICU then I would not consider them an admit
*** Yes, I moved it here, that's why I said I moved it here ;-). I just want to make sure none of the italicized stuff should be integrated into the above before deleting it. If you think it's all integrated already, pls delete the whole discussion. [[User:Ttenbergen|Ttenbergen]] 10:10, 2021 December 15 (CST)
 
}}


== Dates of service vs location starts ==
== Dates of service vs location starts ==
{{Discuss | Need to think how this is part of this definition, if at all. }}
See [[Admit DtTm]] for how the starting time of a record is encoded.
*In the past we talked about [[Arrive DtTm]] and [[Accept DtTm]].  But in 2020 we transitioned to a different way of keeping track (separately) of the patient's physical location (i.e. [[Boarding Loc]] tmp entry) and the service they are under ([[Service tmp entry]]). See the relevant pages for more info.


== End of a database profile ==
== End of a database profile ==
=== Bed holds ===
=== Bed holds ===
To see when a profile should continue vs new profile, see [[Bed holds]].  
To see when a profile should continue vs new profile, see [[Bed holds]].  
== Definitions relevant for historical data ==
Definitions over time are available at
* [[Special:History/{{PAGENAME}}]]
{{Discuss |
* We need to extract a summary of the definition details from the page history.
* We should set up a [[Data Meaning Layer]] to provide a clear Record definition in [[CFE]] to treat historical, pre [[PatientFollow Project]], records in a way that is consistent with our current definition.
}}


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


{{LegacyContent
|explanation=xxx
|successor=xxx
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[[Category: Admit/Discharge]]
[[Category:Admit/Discharge | *]]
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