Night Time Discharges

The proportion of patients where Dispo is a ward or step-down and where where Dispo DtTm is between 22:00 and 06:59

Indicators
Indicator:	Night Time Discharge Rate
Created/Raw:	Created
Program:	Critical Care
Start Date:
End Date:
Reports:	Critical Care Program Quality Indicator Report

• Cargo

• SMW:

• Categories

• Default form:

QI domain

• Timely
• Efficient
• Safe

Reported as

Percent of discharges to ward

Why only to wards? How about to home?

• SMW

• Cargo

• Categories

Significance

Discharge from ICU at night occurs because of either the delay of an elective discharge, an unplanned discharge is forced due to inadequate ICU capacity. Night time discharges have been associated with adverse outcomes. Night discharges usually happen within the facility - it is very rare or not at all that a patient is discharged to home.

Sampling Plan / Procedure

Inclusion Criteria

100% of all survived ICU patients discharged to ward

Definition and Derivation

The proportion of patients discharged to the ward or step-down where discharge occurred between 22:00 and 06:59

Numerator

Num = Number of survived discharges to ward that occurred between 22:00 and 06:59

Denominator

Denom = Number of survived discharges to ward

Formula

Night Time Discharge Rate (%) = Num / Denom * 100

Example

• Time Reference: Discharge Dates from Jan 1, 2017 to March 31, 2017
• Total survived discharges to ward that occurred between 22:00 and 06:59 = 21
• Total survived discharges to ward = 102
• Night Time Discharge Rate(%) = 21 / 102 * 100= 20.6 %

Data Sources

The following fields from L_Log table are used :

• Discharge time (Hour) from Dispo DtTm field
• Dispo field

SAS Program

X:\Julie\SAS_CFE\CFE_macros\datetimes.sas

Report Users

• Critical Care Directors and Site Managers
• Critical Care Quality Improvement Team

Related articles

Related articles:

Quality Assurance ‎ (← links) User:JMojica ‎ (← links)