Transfer Delay (Critical Care): Difference between revisions
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{{Reporting Indicators | {{Reporting Indicators | ||
|description='''Transfer Delay''' is the difference between [[Dispo_DtTm]] and [[# | |description='''Transfer Delay''' is the difference between [[Dispo_DtTm]] and [[#Transfer Ready DtTm in use at different times]] in decimal days. | ||
|created_raw= | |created_raw=Created | ||
|Program=Critical Care | |Program=Critical Care | ||
|indicator_start_date=1999-01-15 | |indicator_start_date=1999-01-15 | ||
|indicator_name= | |indicator_name=Transfer_Delay_CC | ||
|program=Critical Care and Medicine | |program=Critical Care and Medicine | ||
}} | }} | ||
There is a similar concept in medicine, [[Transfer Delay (Medicine)]]. | |||
It is stored in the [[Transfer_Delay_CC]] field in [[Created_Variables_CC_2021 table]]. | |||
== Use == | == Use == | ||
* The purpose is to determine the amount of time the patient is occupying a bed in an ICU setting when the patient | * The purpose is to determine the amount of time the patient is occupying a bed in an ICU setting when the patient no longer needs that [[Level of care hierarchy| level of care]] (also referred to as wasted bed) from the [[#Transfer Ready DtTm in use at different times]] until the [[Dispo DtTm]]. | ||
== Calculation of Transfer Delay == | |||
== | *Transfer Delay is the difference between [[Dispo DtTm]] and first [[Transfer Ready DtTm]]. | ||
Transfer Delay is the difference between [[ | {{Collapsable| always=see previous definitions| full= | ||
*As agreed in JALT meeting March 22, 2023, transfer delays will be reported based on actual delay times with no more allowances of less than n hours. | |||
*previously, transfer delay calculation followed the national Vital Signs Monitoring program guideline which subtracted 2 hrs from all actual delay time. | |||
*In the meeting held Jan 11, 2023, it was decided as per approval from the Critical Care Director to define transfer delays as follows: (a) ignore such transfer delays <2 hrs, but (b) for all delays >=2 hrs to use the actual delay time. | |||
* | }} | ||
* | |||
* | |||
= | |||
== | == Transfer Ready DtTm in use at different times == | ||
=== [[Admit DtTm]] or [[Dispo DtTm]] < 2020-10-01 00:00 === | |||
* Use the DtTm in [[Transfer Ready DtTm field]] | |||
=== [[Admit DtTm]] or [[Dispo DtTm]] >= 2020-10-01 00:00 === | |||
* Use the ''first'' [[Transfer Ready DtTm tmp entry]], as derived by [[created_FirstTransferReady query]] | |||
==== Background ==== | |||
* For each record, it is possible to have one or more entries of [[Transfer Ready DtTm tmp entry]] corresponding to one or more [[Boarding Loc |boarding locations]]. | |||
* We only collect one [[level of care hierarchy | level of care]] per CC record, so we only ever care about the first [[Transfer Ready DtTm tmp entry]] that has a DtTm | |||
* Any additional [[Transfer Ready DtTm tmp entry]] will be ignored for this calculation | |||
This | ==== Why collect per boarding loc when we only report per admission? ==== | ||
To make it easier for data collectors. This way, collectors don't have to try and go back and figure out if there was or was not a transfer ready in a prior location. They only need be concerned about the notes and orders from THIS boarding loc. | |||
== Reporting of Transfer Delays == | |||
* Include all cases with transfer ready dttm (who went to same/lower/higher level of care or died). | |||
* Refer to the following indicators: | |||
#[[Avoidable Days (Critical Care)|Avoidable Days]] | |||
#[[Beds occupied by transferrable patients (Critical Care)|Beds occupied by transferrable patients]] | |||
== IICU and H6 Reporting == | == IICU and H6 Reporting == | ||
| Line 53: | Line 46: | ||
# to HSC IICU/H6, and | # to HSC IICU/H6, and | ||
# to other wards/Home (including nursing home/long term care facility) | # to other wards/Home (including nursing home/long term care facility) | ||
The [[Dispo]] location will be used to define the destination. As per Dr. Garland & Dr. Paunovic. | {{DJ | | ||
* ''The [[Dispo]] location will be used to define the destination. As per Dr. Garland & Dr. Paunovic. | |||
** I think we discussed at Task that we will do this differently now... right? | |||
}} | |||
{{DJ | | |||
* The above is really about stratification, and not the indicator itself. Do you really only use it to stratify delays, or do you also report other indicators such as Length of Stay with it. Even if it is single-use, I think we should probably treat any generated value we use to stratify pretty much as we do Indicators, possibly using the same templates on the wiki. The stratification affects averages and totals, so it needs to be transparent. This is likely a can of worms because there must be much stratification in the reports. [[User:Ttenbergen|Ttenbergen]] 14:50, 7 December 2025 (CST) | |||
}} | |||
==SAS Program== | ==SAS Program== | ||
*S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\logphi_TR_Jan2023.sas | |||
** macro %CC_tready | |||
*S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\prep_Tmp_BoardServiceTransfer.sas (macro %boardtransf) | |||
== Data use == | == Data use == | ||