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This article is about [[Multiple Encounter]] patients who have not been discharged in between encounters.  
This article is about [[Multiple Encounter]] patients who have not been discharged in between encounters.  


== Continuous stay at one hospital ==
== Medicine Definition ==
As per [[Transfer time rule]] a stay at one hospital is considered continuous if the difference between discharge dttm on one ward/unit and admit dttm at the next is '''at least 5 minutes'''.
A continuous stay for a patient per site is having the same [[Visit Admit DtTm]] for  the multiple encounters.  
 
=== Identification ===
A pair of records for the same patient is a continuous stay if:
* consider the record with the earlier admit dttm as the "first" and the other the "second"
* the combination of [[Admit From & Discharged To|discharge-to]] and [[Med Var 2 - Discharge-to Ward]] field in the first the [[location field]] in the second match
* the [[Admit From & Discharged To|admit-from field]] in the second and the [[location field]] in the first match
* the discharge dttm in the first is between <what> and <what> minutes
 
{{discussion}}
* link profiles from one ward to another when both wards are within the database program
** {{discussion}} what do you mean "when both wards are within the database program" - would we have data if they were not?Ttenbergen 18:07, 2012 November 22 (EST)
* detect a likely continuous stay when a pt is discharged from one of our wards to a non-collected ward and then re-admitted to one of our wards from the same non-collected ward.  
 
=== ICU ===
 
== Continuous stay regional ==


=== Reports using this concept ===
Used in [[Directors Quarterly and Annual Report (Medicine)|Directors Quarterly and Annual Report]]
== Critical Care Definition ==
*Currently, the multiple encounters of an ICU episode from same or different site  is not being done or reported.
*if to be done in the future, Dr. Allan Garland prescribed it based on the paper he did (Sept 7, 2012).
** Link one or more ICU whether same or diff hospitals.
    1. Gap <= 24 hr and (TO=blank or from=blank)
    2. Gap <= 48 hr and previous to = ICU/OR/PACU and from = ICU/OR/PACU
    3. the cases discharge to CCU but database has no HSC CCU prior May 1999 **;
            From= CCU/OR/PACU and previous to= CCU and 2 < diff < 20 
== Related articles ==
{{Related Articles}}


[[Category:Multiple Encounter linking]]
[[Category:Multiple Encounter linking]]
[[Category:Statistical Analysis]]
[[Category:Statistical Analysis]]
[[Category:Dispo]] Need to update this with new fields.