|
Tag: Redirect target changed |
| (35 intermediate revisions by 7 users not shown) |
| Line 1: |
Line 1: |
| '' see [[Transfer time rule]] for the unrelated rules around patients transferring between wards we collect data on
| | #redirect:[[Transfer Ready DtTm tmp entry]] |
| Rewriting in progress.........your patience and help appreciated.
| |
|
| |
|
| Transfer ready date and time is the time a patient is deemed to be ready to leave the ward/unit; there are very specific collection instructions for this, and they are different for ICU and Medicine. See [[]] for how we use this data.
| | '''''Legacy only. This data used to be collected as [[Transfer Ready DtTm field]]. Before that, this data was replaced as part of the [[2016 Time and Place changes]]. See [[Transfer Ready DtTm field]]. ''''' |
| We track '''Transfer Ready date and time''' for patients in ICU and Medical wards as part of our [[Minimal Data Set]], i.e. this his high-priority data that needs to be collected ASAP. '''All attempts''' should be made to record the '''time''' at which the patient was deemed to be ready for transfer.
| |
|
| |
|
| == ICU ==
| | Deleted original content of article for the old field so there is no confusion, people were editing it. If pre-dispo definition is required, see history for this article. |
| The transfer ready date and time is when the pt is deemed stable enough to be transferred out of the ICU.
| |
|
| |
|
| ==='''Required''' for ICU when===
| | [[Category: L Log table Legacy]] |
| * a patient is sent to a '''ward''' from an ICU
| |
| * a patient is sent to '''IICU''' at HSC
| |
| * a patient is ready to go '''home (ZZ)'''
| |
| * See '''ICU special cases''' below
| |
| | |
| ==='''Not required''' for ICU when ===
| |
| * goes home [[ICU Var 6 - AMA]] '''A'''gainst '''M'''edical '''A'''dvice
| |
| * when patient '''dies''' in the ICU
| |
| * transfer to from one ICU to another ICU in same center in other ICU in city
| |
| * sent to '''operating room'''
| |
| * sent for procedure or test and '''doesn't return''' to unit
| |
| | |
| === ICU Special Case - ACP-C ===
| |
| The time that a patient is made ACP-C in an ICU should be used as Transfer Date and Time.
| |
| | |
| | |
| **I know that the above refers to ICU but is this also applicable to Medicine patients? We have patients where they are made ACP-C, all meds and treatments are discontinued and they are basically waiting to die or be discharged home or somewhere to die there. Does this become a transfer ready date for Medicine?--[[User:CMarks|CMarks]] 11:36, 2014 June 26 (CDT) {{discussion}}
| |
| *** flagged this in an email to Trish and Dr Garland Ttenbergen 16:50, 2014 June 26 (CDT)
| |
| | |
| === ICU Special Case - Condition Deteriorates ===
| |
| If a patient is on the transfer ready list in ICU and his '''condition deteriorates''' resulting in the need to remain in the unit, then this patients transfer ready is '''cancelled''' and the transfer ready date and time should be deleted. If the patient is put back on the transfer/discharge ready list, enter the '''new''' transfer ready date. '''Not applicable to Medicine ward patient.'''
| |
| | |
| This differs from the Medicine instructions.
| |
| | |
| == Medicine ==
| |
| The transfer ready date is the '''first''' date during this ward stay that a patient was deemed medically stable and is ready to be discharged.
| |
| | |
| ==='''Required''' for Medicine when===
| |
| * a patient is sent '''Home''' (ZZ)
| |
| * a patient is sent to a long term care facility ('''NW, DW, RW'''...)
| |
| * a patient is sent '''from''' a '''Teaching''' medicine ward to a '''Non'''-teaching medicine ward or is changed to "non-teaching" '''status''' without changing wards
| |
| | |
| ==='''Not''' required for Medicine when ===
| |
| * patient is being transferred to an ICU
| |
| * a patient goes from one medical '''teaching''' unit to another in same facility or another facility in the city.
| |
| * goes home [[Med Var 6 - AMA]] '''A'''gainst '''M'''edical '''A'''dvice
| |
| * when patient dies on a medicine ward
| |
| * transfer to an ICU
| |
| * sent to operating room (OR)
| |
| * sent for procedure or test and doesn't come back to the ward
| |
| | |
| === Transfer ready DATE NOT available Medicine only===
| |
| Go to: [[Collection of "No Transfer Date Medicine"]]
| |
| | |
| === Medicine Special Case - Condition Deteriorates ===
| |
| If a patient develops a complication '''after''' they were deemed to be medically stable and transfer ready, you '''do not change''' their transfer ready date/time. This is unlike the ICU instructions.
| |
| | |
| Dr Roberts did indicate that he would like the transfer ready to be recorded and unchanged even if the pts condition changes. The original transfer ready date and time are still relevant to the [[:Category: OverstayProject | OverstayProject]]. As per discussions with Roberts for updated guidelines.
| |
| | |
| === Medicine Special Case - Patient arrives transfer-ready===
| |
| If a pt already has a transfer ready date and time and is moved to another ward, the transfer ready date and time will be the time of admission (1 minute later to keep [[#CCMDB Consistency Checks]] happy) to that ward. Needs to be done this way because of the way our [[statistician]] reports this data.
| |
| | |
| = Sources =
| |
| In order of preference or ''which ever is source is most reliable at your site''
| |
| * Physician Diagnosis Form ([[green sheet]]) (available for ICU only)
| |
| * Transfer Ready stamp on physician orders or progress note (Medicine only)
| |
| * [[STB Electronic Patient Record]]
| |
| * Physicians’ Orders from patient chart
| |
| * ICU patient Log Book as recorded by unit clerk (from orders)
| |
| * Charge Nurse
| |
| * IPN - Often a physician will write "medically stable" in the IPN but not in the orders.--[[User:CMarks|CMarks]] 07:51, 2014 March 3 (CST)
| |
| | |
| == Data Use ==
| |
| Used to generate [[Transfer_Delay]], which is used in [[Overstay]] and several reports, see also [[Transfer_Delay#data use]].
| |
| | |
| == Date and time formats ==
| |
| see [[Date and Time Format]]
| |
| | |
| == {{CCMDB Data Integrity Checks}} ==
| |
| === CCMDB.mdb Transfer Date validation ===
| |
| If all of
| |
| * transfer ready date or even just time is blank
| |
| * survived,
| |
| * not [[Med Var 6 - AMA]] and not [[ICU Var 6 - AMA]]
| |
| * the discharge-to location ends in W, U, Z, X
| |
| then
| |
| * give an error requiring a comment in notes
| |
| * don't allow final-check if notes are blank
| |
| This is checked at registry-check or final check.
| |
| | |
| {{discussion}}
| |
| I don't think these run as written right now, and even if they do, they would be different than [[#NDC_Missing_TransferDate_w_pivot]]
| |
| | |
| === NDC_Missing_TransferDate_w_pivot ===
| |
| This query in [[Centralized data front end.mdb]] flags patients discharged to "zz" or Like "?w" (ie home or ward) who have a discharge date "Between #2013/Oct/01# And #2013/Dec/31#" (?!) and a transfer date of #3000/Jan/01# (I think this would only catch those imported from Ed, not the newly sent ones).
| |
| | |
| for incomplete only
| |
| | |
| {{discussion}}
| |
| Should this be changed to be like [[#CCMDB.mdb Transfer Date validation]], once that is what we want it to be? Ttenbergen 14:43, 2014 June 23 (CDT)
| |
| | |
| | |
| [[Category: Admit/Discharge]]
| |
| [[Category: Data Collection Guide]]
| |
| [[Category: Critical Care Review Group]]
| |
| [[Category: Registry Data]]
| |
| [[Category: Transfer Ready|*]]
| |