Project Borrow arrive: Difference between revisions

(84 intermediate revisions by 5 users not shown)

Line 1:

{{Project

~~| Project = Borrow arrive~~

|ProjectActive=legacy

| ProjectActive = ~~not yet active~~

|ProjectProgram=CC

| ProjectProgram = CC

|ProjectRequestor=Critical Care program (Allan Garland)

| ProjectRequestor = Critical Care program (Allan Garland)

|ProjectCollectionStartDate=2018-07-19

}}

|ProjectCollectionStopDate=2019-09-20

|Project=Borrow arrive

}}

All remaining "Borrow arrive" entries were changed to "[[Boarding Loc]]" 2020-08-05.

This project will track ~~when~~ and ~~where~~ the ~~patient first borrows a bed~~.

{{LegacyContent

|explanation=Changed collection to more general [[Boarding Loc]]

|successor=[[Boarding Loc]]

|content=

Use of this field is likely inconsistent after 2019-09; we started [[Boarding Loc]] which implies the content of this field but failed to properly phase out this field at the time.

This project tracks where and when a patient arrives into a "borrowed bed".

A "borrowed bed" is when a patient is not physically located in the place designated by the [[Service/Location]].

*Critical Care will track '''all instances''' of bed borrows

*Medicine is not included in this project.

This new project replaces [[ACCU borrow]].

This project does '''not''' replace [[ICUotherService]]; we will still need this item in the event that both the bed and the service are both borrowed. Administration at STB want this data.

* but [[2025-05 Revision of concept around ICUotherService]] will make it obsolete.

== Data Collection Instructions ==

~~=== Under which circumstances~~ to ~~enter this ===~~

In [[L TmpV2 table |TMP]], a "no borrow" entry will automatically be added to every new Critical Care patient's record.

* '''~~For medicine~~''': put a ~~tmp entry for '''~~the ~~first time''' a~~ patient ~~enters~~ a borrowed location ~~during their stay at your~~ [[~~Service/Location~~]]~~; this may be at the beginning of their stay~~

If the patient never ends up in a "borrowed bed" during their stay then, leave the default in Item as ''no borrow'' and also put a check mark in the checkbox. (this is to verify that there was no bed borrow, otherwise no one is sure is missed or not).

If the patient does end up in a "borrowed bed", change the item to the location of the borrow and enter the rest as per below: [[#How to enter this]].

* '''For critical care''': put a tmp entry for '''every move/borrow''' a patient makes during their stay at your [[Service/Location]]; including moves from borrowed location to your actual unit.

Add a new tmp entry for '''every additional move/borrow''' within your centre that a patient makes during their stay at your [[Service/Location]]; including moves from borrowed location to your actual unit.

=== How to enter this ===

*Use tmp fields:

** Project: '''Borrow arrive'''

** Item: '''no borrow''' (~~default~~) or '''the ward/unit where the bed was borrowed'''

** Item: '''no borrow''' is the default (check off the box under column B for all patients '''not''' borrowing a bed).

** start_dt: '''arrival date at borrowed bed'''

** Item: '''borrow arrive''' (select the ward/unit where the bed was borrowed):

** start_tm: '''arrival time at borrowed bed'''

*** CON - recovery

** checkbox: to be checked only in case of "no borrow"

*** GRA - recovery

*** GRA - ER (see [[GRA ER use as borrow location]]) - added May 2.19

****will update March 30.19 profile GRA_MICU_10422 master database to reflect this event.

*** HSC - recovery

*** [[HSC_CCU]]

*** [[HSC_IICU]]

*** [[HSC_MICU]]

*** [[HSC_SICU]]

*** OAK - recovery

*** STB - recovery

*** [[STB_ACCU]]

*** [[STB_CICU]]

*** [[STB_MICU]]

**** '''If a location borrowed from is not available in the drop down, email Tina and Trish to have them added.'''

** Enter start_dt: '''arrival date at borrowed bed''', under column E.

** Enter start_tm: '''arrival time at borrowed bed''', under column M.

** checkbox: '''to be checked only in case of "no borrow"

* If the patient moves back to their "home unit", or "intended unit", make another '''borrow arrive''' entry and select your home unit. Enter the date/time for this move, as above.

*Dispo Tab

**[[Service/Location field]] enter: home unit

**[[Service/Location field]] enter: '''home''' ward/unit

=== Special Case - ~~admission~~ is ~~already to off-ward location~~ ===

=== Special Case - original arrival is in "borrowed bed" ===

If pt is admitted to your service but ~~even~~ the original location is off-ward, code borrow ~~arrive with borrow data~~ and time ~~= [[Arrive DtTm]]~~

If pt is admitted to your physician service but the original location is from an off-ward bed, code that location ''Arrive DtTm'' = borrow date and time.

The APACHE elements time frame will start in the off-ward bed location and TISS starts from the off-ward bed as well.

=== Special Case - PACU ===

If a bed is borrowed in PACU / post-anesthesia care / recovery unit, code this as a borrow. (i.e. <hosp> - recovery, e.g. "HSC - recovery").

If a bed is borrowed in PACU / post-anesthesia care / recovery unit, code this as a '''borrow'''. (i.e. <hosp> - recovery, e.g. "HSC - recovery").

=== Special Case - ~~EMIP~~ ===

If the decision to accept to the service happens in PACU, the ''Arrive DtTm'' = the borrow date and time. The APACHE elements are collected at PACU stay and TISS starts at PACU.

~~One could consider an~~ [[~~EMIP~~]] ~~a special case of this~~, ~~but we~~ will ~~'''not code~~ them ~~in this project'' and instead follow the usual EMIP instructions~~.

=== Special Case - From ER ===

Not included in this project.

*The time spent/waiting in ER is done using ''Arrive DtTm'' vs ''Accept DtTm''.

**March 30.19: own ward, to own ER (under ICU physician care) then to own ICU when bed available. Started occurring at Grace- March 30.19

=== Special Case - Parked ===

Not included.

*For patients who are [[Parked in ER]], no need an entry for these, since the ER delay will take care of them.

== Start/End Dates ==

*Start: not yet determined

*End: there is no planned end date

== ~~Examples~~ ==

=== considerations about continuing collection ===

~~{{discussion}} still to come.~~

Continue collection for now, just keeping you in the loop about discussions in main office.

== ~~Data / Implementation comments~~ ==

* for Critical Care units we will use the "location_name" column content from the [[s_dispo table]]

* for Medicine wards we will start out with the same options that used to be allowed for ~~the moves project; collectors will be instructed to request additional locations to be added as they come up.~~

~~=={{CCMDB Data Integrity Checks|not yet implemented}}==~~

~~=== (start_dt, start_tm) outside of admission time ===~~

If

* (start_dt, start_tm) < [[Arrive_DtTm]]

or

* [[Dispo_DtTm]] <'''=''' (start_dt, ~~start_tm)~~

~~then give a hard error. This can't be.~~

~~Implemented as query ''___not___yet___implemented___''.~~

~~=== can't have two entries that are~~ the ~~same ===~~

~~Can't have two identical entries.~~

~~Implemented as query ''___not___yet___implemented___''~~.

~~=== can't~~ borrow ~~on own unit ===~~

* --[[User:JMojica|JMojica]] 11:17, 2018 November 15 (CST) -- Added some more as shown by the data. Just a note - only 30 out of 1807 (2%) records have shown borrowed location while 98% have no borrow. This is expected since STB ACCU has stopped borrowing bed and instead, now borrowing service from ICMS /ICCS which is being collected in another tmp project. The site with most frequent borrower is HSC SICU (i.e. borrowing bed from PACU). How much work will it take to do all these integrity checks? Also with very few useful data, I think we should not collect this project for all admissions but restore the use of [[Off ward field]] checkbox and collect only for those with YES Off ward.

''This is ~~allowed because this~~ is ~~how we would code a patient moving back to home unit~~. ~~No check! Just leaving~~ it ~~here in case~~.''

== Data Use ==

Line 72:

Line 102:

::: where Next Arrival Date_time = Dispo Date_time if there is no more next arrival date_time.

The SAS program is saved in X:\Julie\SAS_CFE\CFE_macros\Bed_Borrow.sas

The SAS program is saved in {{S:\MED\MED_CCMED}}Julie\SAS_CFE\CFE_macros\Bed_Borrow.sas

== Background ==

Will replace [[Off ward field]] to provide more meaningful data.

We used to collect [[Moves for Medicine]] but this was too much work because there are too many ~~adminstrative~~ moves. Also, the data wasn't being used. Now critical care has asked for this data. To keep collection instructions as consistent as possible between CC and Med, we decided to use the same structure for both, but only track the first instance for medicine, but all instances for CC.

We used to collect [[Moves for Medicine]] but this was too much work because there are too many administrative moves. Also, the data wasn't being used.

~~==Related articles ==~~

~~{{Related Articles}}~~

[[Category:L TmpV2 Data]]

[[Category:~~All Projects~~]]

[[Category:Project]]

[[Category:Overflow]]

[[Category:Legacy Overflow]]

}}

@@ Line 1: / Line 1: @@
 {{Project
- | Project = Borrow arrive
+|ProjectActive=legacy
- | ProjectActive = not yet active
+|ProjectProgram=CC
- | ProjectProgram = CC
+|ProjectRequestor=Critical Care program (Allan Garland)
- | ProjectRequestor = Critical Care program (Allan Garland)
+|ProjectCollectionStartDate=2018-07-19
- }}
+|ProjectCollectionStopDate=2019-09-20
+|Project=Borrow arrive
+}}
+All remaining "Borrow arrive" entries were changed to "[[Boarding Loc]]" 2020-08-05.
-This project will track when and where the patient first borrows a bed.
+{{LegacyContent
+|explanation=Changed collection to more general [[Boarding Loc]]
+|successor=[[Boarding Loc]]
+|content=
+Use of this field is likely inconsistent after 2019-09; we started [[Boarding Loc]] which implies the content of this field but failed to properly phase out this field at the time.
+This project tracks where and when a patient arrives into a "borrowed bed".
+A "borrowed bed" is when a patient is not physically located in the place designated by the [[Service/Location]].
+*Critical Care will track '''all instances''' of bed borrows
+*Medicine is not included in this project.
+This new project replaces [[ACCU borrow]].
+This project does '''not''' replace [[ICUotherService]]; we will still need this item in the event that both the bed and the service are both borrowed. Administration at STB want this data.
+* but [[2025-05 Revision of concept around ICUotherService]] will make it obsolete.
 == Data Collection Instructions ==
-=== Under which circumstances to enter this ===
+In [[L TmpV2 table |TMP]], a "no borrow" entry will automatically be added to every new Critical Care patient's record.
-* '''For medicine''': put a tmp entry for '''the first time''' a patient enters a borrowed location during their stay at your [[Service/Location]]; this may be at the beginning of their stay
+If the patient never ends up in a "borrowed bed" during their stay then, leave the default in Item as ''no borrow'' and also put a check mark in the checkbox. (this is to verify that there was no bed borrow, otherwise no one is sure is missed or not).
+If the patient does end up in a "borrowed bed", change the item to the location of the borrow and enter the rest as per below: [[#How to enter this]].
-* '''For critical care''': put a tmp entry for '''every move/borrow''' a patient makes during their stay at your [[Service/Location]]; including moves from borrowed location to your actual unit.
+Add a new tmp entry for '''every additional move/borrow''' within your centre that a patient makes during their stay at your [[Service/Location]]; including moves from borrowed location to your actual unit.
 === How to enter this ===
 *Use tmp fields:
 ** Project: '''Borrow arrive'''
-** Item: '''no borrow''' (default) or '''the ward/unit where the bed was borrowed'''
+** Item: '''no borrow''' is the default (check off the box under column B for all patients '''not''' borrowing a bed).
-** start_dt: '''arrival date at borrowed bed'''
+** Item: '''borrow arrive''' (select the ward/unit where the bed was borrowed):
-** start_tm: '''arrival time at borrowed bed'''
+*** CON - recovery
-** checkbox: to be checked only in case of "no borrow"
+*** GRA - recovery
+*** GRA - ER (see [[GRA ER use as borrow location]]) - added May 2.19
+****will update March 30.19 profile GRA_MICU_10422 master database to reflect this event.
+*** HSC - recovery
+*** [[HSC_CCU]]
+*** [[HSC_IICU]]
+*** [[HSC_MICU]]
+*** [[HSC_SICU]]
+*** OAK - recovery
+*** STB - recovery
+*** [[STB_ACCU]]
+*** [[STB_CICU]]
+*** [[STB_MICU]]
+**** '''If a location borrowed from is not available in the drop down, email Tina and Trish to have them added.'''
+** Enter start_dt: '''arrival date at borrowed bed''', under column E.
+** Enter start_tm: '''arrival time at borrowed bed''', under column M.
+** checkbox: '''to be checked only in case of "no borrow"
+* If the patient moves back to their "home unit", or "intended unit", make another '''borrow arrive''' entry and select your home unit. Enter the date/time for this move, as above.
 *Dispo Tab
-**[[Service/Location field]] enter: home unit
+**[[Service/Location field]] enter: '''home''' ward/unit
-=== Special Case - admission is already to off-ward location ===
+=== Special Case - original arrival is in "borrowed bed" ===
-If pt is admitted to your service but even the original location is off-ward, code borrow arrive with borrow data and time = [[Arrive DtTm]]
+If pt is admitted to your physician service but the original location is from an off-ward bed, code that location  ''Arrive DtTm'' = borrow date and time.
+The APACHE elements time frame will start in the off-ward bed location and TISS starts from the off-ward bed as well.
 === Special Case - PACU ===
-If a bed is borrowed in PACU / post-anesthesia care / recovery unit, code this as a borrow. (i.e. <hosp> - recovery, e.g. "HSC - recovery").
+If a bed is borrowed in PACU / post-anesthesia care / recovery unit, code this as a '''borrow'''. (i.e. <hosp> - recovery, e.g. "HSC - recovery").
-=== Special Case - EMIP ===
+If the decision to accept to the service happens in PACU, the ''Arrive DtTm'' = the borrow date and time.  The APACHE elements are collected at PACU stay and TISS starts at PACU.
-One could consider an [[EMIP]] a special case of this, but we will '''not code them in this project'' and instead follow the usual EMIP instructions.
+=== Special Case - From ER ===
+Not included in this project.
+*The time spent/waiting in ER is done using ''Arrive DtTm'' vs ''Accept DtTm''.
+**March 30.19: own ward, to own ER (under ICU physician care) then to own ICU when bed available.  Started occurring at Grace- March 30.19
+=== Special Case - Parked ===
+Not included.
+*For patients who are [[Parked in ER]], no need an entry for these, since the ER delay will take care of them.
 == Start/End Dates ==
-*Start: not yet determined
 *End: there is no planned end date
-== Examples ==
+=== considerations about continuing collection ===
-{{discussion}} still to come.
+Continue collection for now, just keeping you in the loop about discussions in main office.
-== Data / Implementation comments ==
-* for Critical Care units we will use the "location_name" column content from the [[s_dispo table]]
-* for Medicine wards we will start out with the same options that used to be allowed for the moves project; collectors will be instructed to request additional locations to be added as they come up.
-=={{CCMDB Data Integrity Checks|not yet implemented}}==
-=== (start_dt, start_tm) outside of admission time ===
-If
-* (start_dt, start_tm) < [[Arrive_DtTm]]
-or
-* [[Dispo_DtTm]] <'''=''' (start_dt, start_tm)
-then give a hard error. This can't be.
-Implemented as query ''___not___yet___implemented___''.
-=== can't have two entries that are the same ===
-Can't have two identical entries.
-Implemented as query ''___not___yet___implemented___''.
-=== can't borrow on own unit ===
+* --[[User:JMojica|JMojica]] 11:17, 2018 November 15 (CST)  --  Added some more as shown by the data.  Just a note - only 30 out of 1807 (2%) records have shown borrowed location while 98% have no borrow. This is expected since STB ACCU has stopped borrowing bed and instead, now borrowing service from ICMS /ICCS which is being collected in another tmp project. The site with most frequent borrower is HSC SICU (i.e. borrowing bed from PACU). How much work will it take to do all these integrity checks?  Also with very few useful data, I think we should not collect this project for all admissions but restore the use of [[Off ward field]] checkbox and  collect only for those with YES Off ward.
-''This is allowed because this is how we would code a patient moving back to home unit. No check! Just leaving it here in case.''
+{{Data Integrity Check List}}
 == Data Use ==
@@ Line 72: / Line 102: @@
 ::: where Next Arrival Date_time = Dispo Date_time if there is no more next arrival date_time.
-The SAS program is saved in X:\Julie\SAS_CFE\CFE_macros\Bed_Borrow.sas
+The SAS program is saved in {{S:\MED\MED_CCMED}}Julie\SAS_CFE\CFE_macros\Bed_Borrow.sas
 == Background ==
 Will replace [[Off ward field]] to provide more meaningful data.
-We used to collect [[Moves for Medicine]] but this was too much work because there are too many adminstrative moves. Also, the data wasn't being used. Now critical care has asked for this data. To keep collection instructions as consistent as possible between CC and Med, we decided to use the same structure for both, but only track the first instance for medicine, but all instances for CC.
+We used to collect [[Moves for Medicine]] but this was too much work because there are too many administrative moves. Also, the data wasn't being used.
-==Related articles ==
-{{Related Articles}}
 [[Category:L TmpV2 Data]]
-[[Category:All Projects]]
+[[Category:Project]]
-[[Category:Overflow]]
+[[Category:Legacy Overflow]]
+}}