Project Borrow arrive: Difference between revisions

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{{Project

~~| Project = Borrow arrive~~

|ProjectActive=legacy

| ProjectActive = ~~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.

{{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".

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*Medicine is not included in this project.

This new project replaces:

This new project replaces [[ACCU borrow]].

*[[ACCU borrow]]

*[[ICUotherService]]

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.

*{{Discussion}}Most of the ~~CCU type patients~~ that ~~currently come to ICMS are under~~ the ~~ICMS~~ service ~~attending so they~~ are ~~on the MICU laptop therefore this would not then be considered a bed borrow~~. ~~Is it OK with CCU and ICMS people that we don't capture this any more? As far as I know I was told they~~ want ~~to capture~~ this. ~~The same applies to CCU type patients in ICCS, ICCS attending looks after them and they stay on the CICU laptop.~~

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

*~~This new system seems to only apply if the patient on a specific laptop is off their own area for part or all of their stay~~ but ~~they are still attended by their own doctor. At this time this rarely happens here at STB.--~~[[~~User:LKolesar|LKolesar~~]] ~~08:14, 2018 July 20 (CDT)~~

== Data Collection Instructions ==

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*Use tmp fields:

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

** Item: '''no borrow''' (is the default). '''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).

*** CON - recovery

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

*** CON - recovery

*** 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]]

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*** OAK - recovery

*** STB - recovery

*** [[~~STB_CCU~~]]

*** [[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.'''

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

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

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

** 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''' ward/unit

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

If pt is admitted to your physician service but the original location is from an off-ward bed, code that location ~~with~~ borrow date 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 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.

=== Special Case - From ER ===

Not included in this project.

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

*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 ===

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== Start/End Dates ==

*Start: 2018-07-19

*End: there is no planned end date

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

=== considerations about continuing collection ===

~~Review date: August 1.18~~

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

~~this data may eventually replace: [[ACCU borrow]] and [[ICUotherService]]~~

==~~{{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 ==

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::: 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 ==

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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 = 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.
+{{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".
@@ Line 12: / Line 23: @@
 *Medicine is not included in this project.
-This new project replaces:
+This new project replaces [[ACCU borrow]].
-*[[ACCU borrow]]
-*[[ICUotherService]]
+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.
-*{{Discussion}}Most of the CCU type patients that currently come to ICMS are under the ICMS service attending so they are on the MICU laptop therefore this would not then be considered a bed borrow.  Is it OK with CCU and ICMS people that we don't capture this any more?  As far as I know I was told they want to capture this.  The same applies to CCU type patients in ICCS, ICCS attending looks after them and they stay on the CICU laptop.
+* but [[2025-05 Revision of concept around ICUotherService]] will make it obsolete.
-*This new system seems to only apply if the patient on a specific laptop is off their own area for part or all of their stay but they are still attended by their own doctor.  At this time this rarely happens here at STB.--[[User:LKolesar|LKolesar]] 08:14, 2018 July 20 (CDT)
 == Data Collection Instructions ==
@@ Line 29: / Line 39: @@
 *Use tmp fields:
 ** Project: '''Borrow arrive'''
-** Item: '''no borrow''' (is the default).  '''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).
-*** CON - recovery
+** Item: '''borrow arrive''' (select the ward/unit where the bed was borrowed):
+*** CON - recovery
 *** 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]]
@@ Line 39: / Line 52: @@
 *** OAK - recovery
 *** STB - recovery
-*** [[STB_CCU]]
+*** [[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.'''
-** start_dt: '''arrival date at borrowed bed'''
+** Enter start_dt: '''arrival date at borrowed bed''', under column E.
-** start_tm: '''arrival time at borrowed bed'''
+** 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''' ward/unit
 === Special Case - original arrival is in "borrowed bed" ===
-If pt is admitted to your physician service but the original location is from an off-ward bed, code that location with borrow date 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 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.
 === Special Case - From ER ===
 Not included in this project.
-*The time spent/waiting in ER is done using [[Arrive DtTm]] vs [[Accept DtTm]].
+*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 ===
@@ Line 65: / Line 85: @@
 == Start/End Dates ==
-*Start: 2018-07-19
 *End: there is no planned end date
-== Data / Implementation comments ==
+=== considerations about continuing collection ===
-Review date: August 1.18
+Continue collection for now, just keeping you in the loop about discussions in main office.
-this data may eventually replace: [[ACCU borrow]] and [[ICUotherService]]
-=={{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 100: / 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 ==
@@ Line 107: / Line 109: @@
 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]]
+}}