CCMDB Wiki

STB Cardiac Care patients: Difference between revisions

← Older edit
No edit summary
No edit summary
 
(65 intermediate revisions by 6 users not shown)
Line 1: Line 1:
The collection of [[Registry Patient Type]] and [[Site and Location]] differs from how we usually collect.
== Data Collection ==
== Data Collection ==
*Cardiology (CCU) Service Patients that are '''physically located''' in the '''STB MICU''' but are looked after by the Cardiology Service physician will be collected and entered into the database with a '''Site_location as: STB_MICU.''' GO TO: [[Overflow to other units - Critical Care HSC and STB only#STB-CCU overflow patient in MICU (under cardiology service) |STB_CCU overflow patient in STB_MICU]]
*Cardiology Service Patients that are "physically located" in the '''STB_CICU''' but are looked after the Cardiology Service physician will collected and entered into the database with a '''Site_location as: STB_CICU'''. GO TO: [[Overflow to other units - Critical Care HSC and STB only#STB-CCU overflow patient in CICU  (under cardiology care)| STB_CCU overflow in STB_CICU]]
**[[Registry Patient Type]] for the above two scenerios will be coded as '''Cardiac''' to indicate the patient is under Cardiology Physician Service Care. 
*If MICU attending physician '''takes over''' their '''care''', a NEW profile will be started
**'''Site_Location''' for the NEW profile will be '''STB_MICU'''
**[[Registry Patient Type]] will be coded as  '''Medical''' to indicate the patient is under Medical Physician Service Care
*If the patient is moved '''FROM''' STB_MICU '''TO''' STB_CCU location on A5, a new profile will again be used: 
**Site_Location will be STB_CCU
**[[Registry Patient Type]] will be coded as '''Cardiac''' to indicate the patient is under Cardiac Physician Service Care. 


Cardiac type means that Cardiology service is looking after the patient. If MICU takes over the patient, then Medical patient type will apply in these cases only.  --[[User:LKolesar|LKolesar]] 11:15, 21 October 2010 (CDT)
== Legacy ==
The same goes for when the cardiac patient is located in CICU:  Location will be CICU, patient type will be cardiac because Cardiology looks after these patients. When the patient is transferred to CCU, a new profile is started. 
{{Collapsable
*Example:
| always= Legacy only
**CCU patient in MICU bed or CICU under cardiac physician service care:
| full=
**Hosp_Loc: STB_MICU or STB_CICU
== Data linking ==
**Reg Pt Type: Cardiac
The [[Statistician]] who uses [[SAS]] programs to link [[continuous admission]]s, will update her SAS program so that an admission '''FROM''' Site_Loc, STB_MICU '''TO''' Site_Loc, STB_MICU, will not be flagged as an error.  
*This patient gets transferred to STB ICU Medicine service care physician but stays in same STB_MICU bed.  Discharge to: St.Boniface MICU
As of July 7, 2016, with the new change from [[CCU Service Tracking]] to [[ACCU borrow]], the linking for [[continuous admission]] can now use the Site_Loc, STB_ACCU in either admission '''FROM''' or '''TO''' just like the other Site_loc and will not be flagged as an error. Starting April 2018, the [[ACCU borrow]] has been continued in [[ICUotherService]] and the linking process remains the same as in [[ACCU borrow]].
**New profile
** Admit From: St Boniface MICU
**Hosp_Loc: STB_MICU
**Reg Pt type: Medical
==Potential Change up for discussion==
*continue discussion in task group about method to capture cardiology service patients in ICMS at STB.  Plan to suggest transitioning to having this information incorporated into the tmp file. ie DATE and Time that pt is under cardiology service and/or medicine service if it changes during the pt. stay.  Advantages: remains as one profile instead of splitting which is less confusing; also it is clear when the pt is under which service; also the patient type can be left as pertaining to the diagnosis instead of the respective service coverage which would be more consistent across the city.  --[[User:LKolesar|LKolesar]] 14:48, 2015 April 30 (CDT)
**I like that idea Laura, less confusing, especially with one consistent profile [[User:Lkaita|Lisa Kaita]] 09:06, 2015 May 1 (CDT)


== Patients located on MISI ==
=== Legacy: Patients located on MISI ===
As of October 1, 2010 CCU collectors do not collect data on CCU (Cardiology) pts that are located in MICU or ICCS.  Instead these pts are put as MICU or CICU location with cardiac type.  The MICU or CICU collector is responsible for these patient profiles.  If the pt care is transferred to the MICU attending, the profile will be restarted and it will be a medical type, instead of cardiac type.  .  Must remember to start a new tiss if the patient is transferred to the MICU physician's care.  The first profile is logged out to MICU and the new profile is logged into MICU even though in both cases the location is MICU.  This scenario happens rarely as usually Cardiology service looks after their patients while they are in MICU or CICU.      
As of October 1, 2010 CCU collectors do not collect data on CCU (Cardiology) pts that are located in MICU or ICCS.  Instead these pts are put as MICU or CICU location with cardiac type.  The MICU or CICU collector is responsible for these patient profiles.  If the pt care is transferred to the MICU attending, the profile will be restarted and it will be a medical type, instead of cardiac type.  .  Must remember to start a new tiss if the patient is transferred to the MICU physician's care.  The first profile is logged out to MICU and the new profile is logged into MICU even though in both cases the location is MICU.  This scenario happens rarely as usually Cardiology service looks after their patients while they are in MICU or CICU.    
===Legacy cardiac info ===
===Legacy: cardiac info ===
* prior to October 1, 2010:  MSICU and ICCS had CCU patients as CCU overflows.  They would often be located in one of these areas if they require intubation and /or IABP.  However, they were still attended by the CCU doctors and the CCU data collector entered them as a CCU patient.  They usually remained under CCU unless further multi system issues exist that the CCU attending wished to transfer the care to the ICU.  In this case the patient is discharged from CCU and admitted to the ICU and the ICU data collector then would start a profile and continue to follow this patient.  The respective [[TISS]] sheet followed the patient as they are moved between units if they continued to be a CCU pt.)  The overflow was marked in the variable 5 slot.
* prior to October 1, 2010:  MSICU and ICCS had CCU patients as CCU overflows.  They would often be located in one of these areas if they require intubation and /or IABP.  However, they were still attended by the CCU doctors and the CCU data collector entered them as a CCU patient.  They usually remained under CCU unless further multi system issues exist that the CCU attending wished to transfer the care to the ICU.  In this case the patient is discharged from CCU and admitted to the ICU and the ICU data collector then would start a profile and continue to follow this patient.  The respective [[TISS]] sheet followed the patient as they are moved between units if they continued to be a CCU pt.)  The overflow was marked in the variable 5 slot.
**This entire section is now legacy and Julie has changed this system to utilization of tmp section to designate Cardiology vs MICU coverage back to January 1, 2015. See [[CCU Service Tracking]] . Anything before that date will still have the old system of determining Cardiology service.  --[[User:LKolesar|LKolesar]] 10:19, 2015 June 9 (CDT)
}}


== Related articles ==
{{Related Articles}}


== Data linking ==
[[Category:St Boniface Hospital Office (Critical Care)]]
The [[Statistician]] who uses [[SAS]] programs to link [[continuous admission]]s, will update her SAS program so that an admission '''FROM''' Site_Loc, STB_MICU '''TO''' Site_Loc,STB_MICU, will not be flagged as an error.    The distinguishing feature of these cases will be [[Registry Patient Type]], which will indicate the Physician Service Care the patient is under will in the STB MICU unit.
[[Category:Site Specific Collection Guide]]
 
== {{CCMDB Data Integrity Checks}} ==
[[CCMDB.mdb]] will be changed to allow site and location STB_MICU with discharge to: STB MICU if Registry type is Cardiac.  If registry type Medical or Surgical, then not allowed. If Site and location STB_CICU with discharge to: CICU if registry type is Cardiac.  If registry type S then not allowed.
 
== Origin of this article ==
This article combines information from the following locations to avoid inconsistencies and duplication:
* [[Registry Patient Type#StB Cardiac patients]]
* [[Site_and_Location#STB_CCU service patients physically located in STB_MICU unit]]
* [[STB Critical Care Collection Guide]]
 
== Legacy ==
*Registry patient type said started in October 1, 2010
*Site and Location table said started in November 1, 2010
{{discussion}}
*does the inconsistency mean it's wrong? Ttenbergen
 
I believe this process changed on October 1, 2010.  I am not sure why there is an inconsistency --[[User:LKolesar|LKolesar]] 13:44, 2014 July 14 (CDT)
 
[[Category: St Boniface Hospital Office (Critical Care)]]
[[Category: Site Specific Collection Guide]]
Retrieved from "https://ccmdb.kuality.ca/index.php?title=STB_Cardiac_Care_patients"