Accept DtTm field: Difference between revisions

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<onlyinclude>The [[Accept DtTm field]] contains the date and time when the attending physician accepts a patient from the '''ER department ONLY'''. This is applicable for both ICU and Medicine Database Program</onlyinclude>
{{Todo
| who = Tina
| todo_added = 2022-06-30
| todo_action = 2023-05-04
| question =  _ccmdb_dev
* Field is legacy; once no longer used, remove it from sending and then from ccmdb_data.  
** remove from sending
** remove from CCMDB_data
}}


== Collection Instruction =='
{{Data element
'''Only for patients admitted from the ER department''', if there ''is a record''' of the date/time that the service physician accepted the patient, enter this as the Accept DtTm.
|field_name=Accept DtTm
If there is '''no clear record''' of the accept date/time, enter the [[Arrive_DtTm field]] and then click the "set accept_DtTm to Arrive_DtTm" button to copy the DtTm across.  
|CCMDB_label=Accept DtTm
|in_table=L_Log table
|data_type=date
|program_collecting=Med and CC
|created_raw=Raw
|data_element_start_date=2016-07-01
|data_element_end_date=2022-04-22
|data_element_sort_index=43
|element_description=First [[Service tmp entry]] DtTm for pts who came from the '''ER department''' only
}}
== Collection Instruction ==
For each patient, enter First [[Service tmp entry]] DtTm for pts who came from the same hospital's the '''ER department''' only (i.e. who had an initial [[Boarding Loc]] of ER). Follow the instructions at [[Service tmp entry]].


If the [[Accept DtTm field|Accept DtTm]] > [[Arrive DtTm field|Arrive DtTm]], make accept = arrive
This means the {{PAGENAME}} should be equal to the first [[Service tmp entry]] DtTm if it is entered at all.


===Possible documentation locations===
== Planned elimination of this field ==
* admission/separation registers
see [[Change to replace Accept DtTm with first Service tmp entry, and Arrive DtTm with first Boarding Loc]]
* EPR
** use the date and time from the "accepted to service" on the [[EPR]] orders. i.e. in the epr, click on orders, then highlight the order that says "admit to inpatient-medicine-medical service". Right click on that order. Scroll down to view, then across to history, then across to status. Click on status. Use the date and time as listed in the top "new" order. This is the date and time the patient is accepted to medical service.
* Physician Order sheet
* hospital admission sheet (e.g the white admission separation?/triage sheet at HSC)
* the IPN (integrated progress note)) which is a hand written admission note by the nurse. We at HSC in medicine use this.--[[User:CMarks|CMarks]] 08:10, 26 January 2012 (CST)
 
=== When does collection start? ===
see
* [[Definition of an ICU admission]]
* [[Definition of a Medicine Service admission]]
 
=== Question ===
{{discussion}}
*Does this include a patient who is transferred for a procedure from the local ER eg)cardiac cath, EEG, CT angio PRIOR to being transferred back to the ICU? For example, a patient is sent from the ER to St. B for cardiac angio with presumed STEMI. The prior location in this case would be St. B cath lab. At some facilities, the patient is accepted to ICU prior to the transfer to the procedure. So, does this patient originate from the ER- allowing the collector to put in the accept date/time or is it blank as the patient is coming from the cath lab? --[[User:Lpruden2|Lpruden2]] 11:23, 2016 July 4 (CDT)
** I think this is more of a [[Previous Location]] question, no? Because there it says "most recent previous physical location". So, if pt spent time in ER on way back to you, then previous location is ER, and you need an accepted DtTm. I wonder if this is related to [[Cath lab]]. Ttenbergen 11:45, 2016 July 4 (CDT)


== Data Use ==
== Data Use ==
Patient flow
[[Patient flow]]
* medicine program: to monitor delays to move patient from ER to Med ward bed
* medicine program: to monitor delays to move patient from ER to Med ward bed
* as pf July 2016 onward - ICU same purpose
* as of July 2016 onward - ICU same purpose
Accept DtTm is used as part of the formula to calculate delay in the transfer of patient from ER bed to Med ward or ICU bed - see [[ER Delay]]. This measures the amount of time for the patient already accepted in Medicine or Critical Care service but still using the ER bed and resources.


== {{CCMDB Data Integrity Checks}} ==
{{Data Integrity Check List}}
* [[Function Dispo Chronological()]]
* [[Function long LOS()]]


== Legacy ==
== Legacy ==
This field is part of the [[2016 Time and Place changes]].
{{Collapsable
| always=Click to see legacy info
| full=
* related info: [[Change to start collection at accept rather than arrive time]]
* 2017_January:  also enter lines in TMP for all [[AcceptDateSource]]s.
 
* The source for gathering the accept date/time may vary from site to site see [[#Possible documentation locations]]
 
*This field is part of the [[2016 Time and Place changes]].
**For '''medicine''' this concept is ''related'' to [[admit date and time]] (when pt is from ER). It does not simply replace the field, so this value still needs to be entered for patients not from ER. Resp. field L_Log.R_AdmDate and L_Log.R_AdmTime
**For '''critical care''' this concept is related to [[Service Sending to ICU]]. (There is no comparable field in ICU for this in the old system).
}}


For '''medicine''' this concept is ''related'' to [[admit date and time]] (when pt is from ER). It does not simply replace the field, so this value still needs to be entered for patients not from ER.
== Related articles ==
{{Related Articles}}


For '''critical care''' this concept is related to [[Service Sending to ICU]]. (There is no comparable field in ICU for this in the old system).


[[Category: 2016 Time and Place changes]]
[[Category:2016 Time and Place changes]]
[[Category: Admit/Discharge]]
[[Category:Admit/Discharge]]
[[Category:Data Collection Guide]]

Latest revision as of 18:36, 16 November 2024

_ccmdb_dev

  • Field is legacy; once no longer used, remove it from sending and then from ccmdb_data.
    • remove from sending
    • remove from CCMDB_data
  • added: 2022-06-30
  • action: 2023-05-04
  • Cargo


  • Categories


 
 
 
 

Legacy Content

This page contains Legacy Content.
  • Explanation: This is a legacy data field, its DataElementEndDate is in the past.
  • Successor: No successor was entered

Click Expand to show legacy content.

Data Element (edit)
Field Name: Accept DtTm
CCMDB Label: Accept DtTm
CCMDB tab: not stated
Table: L_Log table
Data type: date
Length: not stated
Program: Med and CC
Created/Raw: Raw
Start Date: 2016-07-01
End Date: 2022-04-22
Sort Index: 43

First Service tmp entry DtTm for pts who came from the ER department only

  • SMW

Legacy implementation right in the table

  • Cargo


  • Categories
  • Forms


Collection Instruction

For each patient, enter First Service tmp entry DtTm for pts who came from the same hospital's the ER department only (i.e. who had an initial Boarding Loc of ER). Follow the instructions at Service tmp entry.

This means the Accept DtTm field should be equal to the first Service tmp entry DtTm if it is entered at all.

Planned elimination of this field

see Change to replace Accept DtTm with first Service tmp entry, and Arrive DtTm with first Boarding Loc

Data Use

Patient flow

  • medicine program: to monitor delays to move patient from ER to Med ward bed
  • as of July 2016 onward - ICU same purpose

Accept DtTm is used as part of the formula to calculate delay in the transfer of patient from ER bed to Med ward or ICU bed - see ER Delay. This measures the amount of time for the patient already accepted in Medicine or Critical Care service but still using the ER bed and resources.

Data Integrity Checks (automatic list)

none found

Legacy

Click to see legacy info   
  • This field is part of the 2016 Time and Place changes.
    • For medicine this concept is related to admit date and time (when pt is from ER). It does not simply replace the field, so this value still needs to be entered for patients not from ER. Resp. field L_Log.R_AdmDate and L_Log.R_AdmTime
    • For critical care this concept is related to Service Sending to ICU. (There is no comparable field in ICU for this in the old system).

Related articles

Related articles:
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