Bed borrow: Difference between revisions

m moved Allan's stuff with the Project Borrow Arrive stuff that would implement about half of his idea.
TOstryzniuk (talk | contribs)
mNo edit summary
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=== Exception: [[EMIP]] ===
=== Exception: [[EMIP]] ===
EMIP patients are essentially bed borrows in the Emergency Room, but we collect and are specifically interested in this group, so follow the [[EMIP]] collection instructions for these patients.  
EMIP patients are essentially bed borrows in the Emergency Room, but we collect and are specifically interested in this group, so follow the [[EMIP]] collection instructions for these patients.  
=== [[ACCU borrow]] ===
See [[ACCU borrow]] for borrows involving STB ICU patients.


=== [[ICUotherService]] ===
=== [[ICUotherService]] ===
For patient should have been in other ICU.
Patient should have been in other ICU.  ACCU only.


=== [[Parked in ER]] ===
=== [[Parked in ER]] ==+
A patient is considered parked in ER if they are a direct admit but when they arrive a bed is borrowed in the ER. The location they came from is encoded as [[Accept Loc Park]].
A patient is considered parked in ER if they are a direct admit but when they arrive a bed is borrowed in the ER. The location they came from is encoded as [[Accept Loc Park]].


=== [[Project Borrow arrive]] ===
=== [[Project Borrow arrive]] ===
New format of bed borrow tracking that will hopefully replace some of the items on this page.
For all bed borrows for ICU patients only.  We are not using for medicine.
New format also replaces:
*[[ACCU borrow]]


==== Allan’s Suggestion for Bed Borrow Coding ====
==== Allan’s Suggestion for Bed Borrow Coding ====
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***#Bed-days in the given interval that patients assigned to UnitB had Flag2=1 +
***#Bed-days in the given interval that patients assigned to UnitB had Flag2=1 +
***#Bed-days in the given interval that patients assigned to any other unit had Flag1=1 AND the FlaggedUnitCode for Flag2 was UnitB
***#Bed-days in the given interval that patients assigned to any other unit had Flag1=1 AND the FlaggedUnitCode for Flag2 was UnitB


== Background ==
== Background ==
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=== Considerations ===
=== Considerations ===
Apparently the bed-borrow practice is getting more and more common. By not collecting these patients we not accounting for ICU nursing work load caused by them. 
Bed-borrowing in other locations has always occurred but appear to becoming more common.  


In the meantime, our definition of ICU patient stands and '''excludes''' bed borrows.
In the meantime, our definition of ICU patient stands and '''excludes''' bed borrows.
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Our decision to code borrowed beds according to their attending rather than to their physical location means we will underestimate work load in some places and overestimate it in others. There is no way to not have this problem in one direction or the other, so we decided on this one.  
Our decision to code borrowed beds according to their attending rather than to their physical location means we will underestimate work load in some places and overestimate it in others. There is no way to not have this problem in one direction or the other, so we decided on this one.  


LOS is generally 2-4hrs then they go back to there original department bed.


==Related articles ==
==Related articles ==