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GRA ER use as borrow location: Difference between revisions

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{{Discuss|
At the Grace, occasionally the ICU borrows beds in the ER. Patients can stay the entire ICU time in the ER, ie if they die or are discharged before ever making it to ICU.  
* There is a strange thing going on at the Grace that leads to situations similar to ECIP.... Made this page to consolidate details here.  


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


At the Grace, occasionally the ICU borrows beds in the ER. Patients can stay the entire ICU time in the ER, ie if they die or are discharged before ever making it to ICU. 
{{LegacyContent
|explanation= This used to result in a bunch of GRA CC specific info, but as of [[Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry]] it is really just a special case of boarding, so the remaining info should no longer be important.  
|successor=[[Change from Service Location to Service, Boarding Loc and Transfer Ready DtTm tmp entry]]
|content=


We have an entry for these in [[Project Borrow arrive]].  
We have an entry for these in [[Project Borrow arrive]].  
{{Discuss|
* How are these different from [[Parked in ER]]/[[Direct admit]]? Where does one end and the other begin? }}


== Identifying these patients ==
== Identifying these patients ==
As per Lisa:  
As per Lisa:  
<blockquote>
<blockquote>
Just to clarify the patient at the Grace was NOT identified through the EPR but was brought to our attention by the manager of the ICU.  After the fact I was able to identify this patient through the EPR admit register using the appropriate dates, the ER as a location and filtering for “all “ providers, the patient then showed up on the report under critical care in the ER.    We have added this as a regular report we will now run looking for all patients in ER admitted under critical care.   
Just to clarify the patient at the Grace was NOT identified through the EPR but was brought to our attention by the manager of the ICU.  After the fact I was able to identify this patient through the EPR admit register using the appropriate dates, the ER as a location and filtering for "all" providers, the patient then showed up on the report under critical care in the ER.    We have added this as a regular report we will now run looking for all patients in ER admitted under critical care.   
This patient was also identified through the medicine admission when the chart and ER notes were reviewed, so this is another way in which we can catch these patients, provided they are transferred to a ward where we collect.
This patient was also identified through the medicine admission when the chart and ER notes were reviewed, so this is another way in which we can catch these patients, provided they are transferred to a ward where we collect.
</blockquote>
</blockquote>


{{Discuss| Do we need to change our EPR Report / identification process to make sure we capture these? Just for Grace or for all sites?
These appear to be showing properly in [[Cognos Report Integrator]] as of 2020-10.
}}
 
== Same situation at STB? ==
As per Laura:
<blockquote>We had one patient who was accepted to ICU in ER and looks like the pt was cared for by the ICU docs for 6 hours there.    The pt did eventually come to the ICU.  If you want to identify these patients you should add ER to our boarding list.  Otherwise we will put the generic STB board option.   </blockquote>
{{Discuss |
* Do we need to add the option to track these for other sites?
}}
}}


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


[[Category: Grace Hospital Office]]
[[Category:Grace Hospital Office]]
[[Category: Site Specific Collection Guide]]
[[Category:Site Specific Collection Guide]]
[[Category: Data Collection Guide]]
[[Category:Data Collection Guide]]
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