Project Borrow arrive

Projects
Active?:	not yet active"not yet active" is not in the list (active, planned, legacy, aborted in planning) of allowed values for the "ProjectActive" property.
Program:	CC
Requestor:	Critical Care program (Allan Garland)
Collection start:
Collection end:

This project will track when and where the patient first borrows a bed.

Data Collection Instructions

When a patient moves off ward, enter the following.

• For medicine: only do this for the first time a patient moves during their stay at your Service/Location

Template:Discussion for medicine, do you want the specific location to be entered? the down list will be unlimited or use only the known ones (need to ask DC). --JMojica 16:12, 2018 June 14 (CDT)

• For critical care: enter for every move/borrow; also enter if the patient moves from borrowed location to your actual unit.

Template:Discussion don't forget - for the unit name, use the same as s_dispo label (either real_name or collection_name). --JMojica 16:12, 2018 June 14 (CDT)

• Use tmp fields:
  • Project: Borrow arrive
  • Item: no borrow (default) or the unit where the bed was borrowed
  • start_dt: arrival date at borrowed bed
  • start_tm: arrival time at borrowed bed
  • checkbox: to be checked only in case of "no borrow"

• Dispo Tab
  • Service/Location field enter: home unit

Special Case - admission is already to off-ward location

If pt is admitted to your service but even the original location is off-ward, code borrow arrive with borrow data and time = Arrive DtTm

Special Case - PACU

If a bed is borrowed in PACU post-anesthesia care unit, code this as a borrow. Template:Discussion Please label the PACU similar with that in s_dispo - --JMojica 16:12, 2018 June 14 (CDT)

Special Case - EMIP

One could consider an EMIP a special case of this, but we will 'not code them in this project and instead follow the usual EMIP instructions.

Start/End Dates

• Start: not yet determined
• End: there is no planned end date

Examples

Template:Discussion still to come.

Template:CCMDB Data Integrity Checks

(start_dt, start_tm) outside of admission time

If

• (start_dt, start_tm) < Arrive_DtTm

or

• Dispo_DtTm <= (start_dt, start_tm)

then give a hard error. This can't be.

Implemented as query ___not___yet___implemented___.

can't have two entries that are the same

Can't have two identical entries.

Implemented as query ___not___yet___implemented___.

can't borrow on own unit

This is allowed because this is how we would code a patient moving back to home unit. No check! Just leaving it here in case.

Data Use

Critical care program wants to know this to better understand patient flow and bed utilization.

SAS Program

The SAS program calculates the time spent in a borrowed bed at each ICU stay and summarize the total bed-days in a given interval how much is taken up by boarders from elsewhere and how much a certain unit is boarding elsewhere.

    Time spent in borrowed bed = Next Arrival Date_time - First Arrival Date_time

             where Next Arrival Date_time = Dispo Date_time if there is no more next arrival date_time. 

The SAS program is saved in X:\Julie\SAS_CFE\CFE_macros\Bed_Borrow.sas

Background

Will replace Off ward field to provide more meaningful data.

We used to collect Moves for Medicine but this was too much work because there are too many adminstrative moves. Also, the data wasn't being used. Now critical care has asked for this data. To keep collection instructions as consistent as possible between CC and Med, we decided to use the same structure for both, but only track the first instance for medicine, but all instances for CC.

Related articles