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]]. | |||
{{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]]. | |||
* For each record, it is possible to have one or more entries of [[Transfer Ready DtTm tmp entry]] corresponding to one or more 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 | ||
* | |||
==== Why collect per boarding loc when we only report per admission? ==== | ==== Why collect per boarding loc when we only report per admission? ==== | ||
To make it easier for data collectors. | 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 == | == 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 60: | Line 47: | ||
# 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. | The [[Dispo]] location will be used to define the destination. As per Dr. Garland & Dr. Paunovic. | ||
==SAS Program== | ==SAS Program== | ||
*S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\ | *S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\logphi_TR_Jan2023.sas | ||
** macro %CC_tready | ** macro %CC_tready | ||
*S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\prep_Tmp_BoardServiceTransfer.sas (macro %boardtransf) | *S:\MED\MED_CCMED\Julie\SAS_CFE\CFE_macros\prep_Tmp_BoardServiceTransfer.sas (macro %boardtransf) | ||
== Data use == | == Data use == | ||
* [[Avoidable Days (Critical Care)]] | * [[Avoidable Days (Critical Care)]] | ||
* [[Beds occupied by transferrable patients (Critical Care)|Beds occupied by transferrable patients]] | * [[Beds occupied by transferrable patients (Critical Care)|Beds occupied by transferrable patients]] | ||