Avoidable Days (Critical Care): Difference between revisions

m Text replacement - "[[Category: " to "[[Category:"
 
(18 intermediate revisions by 2 users not shown)
Line 1: Line 1:
{{Reporting Indicators
{{Reporting Indicators
| description = Avoidable Days in ICU is proportion of ICU total patient days being spent occupying an ICU bed when the patient no longer requires the intensity of care provided in an ICU setting.
| description = Avoidable Days in ICU is the proportion of ICU total patient days being spent occupying an ICU bed when the patient no longer requires the intensity of care provided in an ICU setting. Another term used to call it is '''% Wasted beds'''.
Another terms used to call it are '''Beds Occupied by Transferable Patients'''  or [[Transfer Delay (Critical Care)]] or  '''Wasted beds'''.
 
| indicator_name = Avoidable Days in ICU
| indicator_name = Avoidable Days in ICU
| created_raw = Created   
| created_raw = Created   
Line 10: Line 10:


Also see [[Beds occupied by transferrable patients (Critical Care)]] for a similar concept.  
Also see [[Beds occupied by transferrable patients (Critical Care)]] for a similar concept.  


==QI domain==
==QI domain==
Line 18: Line 19:


==Significance==
==Significance==
Avoidable days reflects the amount of time that patients occupy an ICU bed when the patient no longer requires the intensity of care provided in an ICU setting. It can identify and quantify issues around flow out of the ICU.
Avoidable days reflect the amount of time that patients occupy an ICU bed when the patient no longer requires the intensity of care provided in an ICU setting. It can identify and quantify issues around flow out of the ICU.


==Sampling Plan / Procedure==
==Sampling Plan / Procedure==
===Inclusion Criteria===
===Inclusion Criteria===
100% of all  patients physically present in an ICU bed awaiting transfer out of the ICU and having a date value on the [[Transfer Ready DtTm field]]
100% of all  patients physically present in an ICU bed awaiting transfer out of the ICU and having a date value on the [[Transfer Ready DtTm field]]
*For the Critical Care Report, the Directors and QIT agreed to separate the transfer to IICU from the rest of the locations (to home,  to ward, to outside hospital ward, rehab, PCH and those who died but have transfer ready date_time) - start date Jan to March 2018 Qtr report.
*For the Critical Care Report, the Directors and QIT agreed to separate the transfer to IICU and H6 from the rest of the locations (to home,  to ward, to outside hospital ward, rehab, PCH) and those who died but have transfer ready date_time - start date Jan to March 2018 Qtr report.


===Exclusion Criteria===
===Exclusion Criteria===
Avoidable days exclude those with transfer ready date_time and went to HSC IICU and HSC H6 in [[Dispo]]


===Frequency===
===Frequency===
Line 43: Line 45:


===Denominator===
===Denominator===
Denom =Total Patient Days on the same period as the numerator
Denom =Total [[LOS Per Service]] (ICU) Days  on the same period as the numerator
[[LOS per Service]](ICU)


===Formula===
===Formula===
Line 56: Line 57:


==Data Sources==
==Data Sources==
* Per patient [[Transfer Delay (Critical Care)]]  
* [[Transfer Delay (Critical Care)]]  
**Before Oct 1, 2020 : derived from [[Transfer Ready DtTm field]] and [[Dispo DtTm field]].
* [[LOS Per Service]]
**Starting Oct 1, 2020: derived from the first transfer ready date and time in the [[Transfer Ready DtTm tmp entry]] and [[Dispo DtTm field]] .
*Per patient [[LOS]] is derived from [[Accept DtTm field]] or [[Arrive DtTm field]] and [[Dispo DtTm field]]


==SAS Program==
==SAS Program==
X:\Julie\SAS_CFE\CFE_macros\logphiunit.sas
{{S:\MED\MED_CCMED}}Julie\SAS_CFE\CFE_macros\logphiunit.sas


== Data Integrity Checks ==
== Data Integrity Checks ==
Line 81: Line 80:




[[Category: Transfer Ready]]
[[Category:Transfer Ready]]
[[Category: Admit/Discharge]]
[[Category:Admit/Discharge]]
[[Category: Length of stay]]
[[Category:Length of stay]]