Transfer Delay (Critical Care): Difference between revisions

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{{Data_element

| field_name = Transfer Delay

| element_description = '''Transfer Delay''' is the difference between [[Dispo_DtTm]] and [[Transfer_Ready_DtTm]] in decimal days.

| element_description = '''Transfer Delay''' (a.k.a. '''wasted beds''') is the difference between [[Dispo_DtTm]] and [[Transfer_Ready_DtTm]] in decimal days.

~~Another term used to call it is '''Wasted beds'''~~.

| in_table = Created_Variables_Common table

| data_type = number

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}}

== Use ==

* The purpose is to determine the amount of time the patient is occupying a bed in an ICU setting when the patient is no longer needing that [[Level of care hierarchy| level of care]] (also ~~refer~~ as wasted bed) from the [[Transfer Ready DtTm]] until the [[Dispo DtTm]].

* The purpose is to determine the amount of time the patient is occupying a bed in an ICU setting when the patient is no longer needing that [[Level of care hierarchy| level of care]] (also referred to as wasted bed) from the [[Transfer Ready DtTm]] until the [[Dispo DtTm]].

== Definition Details ==

*Starting July 1, 2018 '''Transfer Delay Over 2 hours for Critical Care~~'''~~ (i.e. subtract 2 ~~hours instead of 4 hours~~ from transfer ~~delay as per instruction by p:Jodi Walker Tweed~~.)

Transfer Delay Over 2 hours for Critical Care (i.e. subtract 2 hrs from the time between ready for transfer ([[#Which Transfer Ready DtTm To Use?]] and [[Dispo DtTm]].

== Which Transfer Ready DtTm To Use? ==

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=== Starting Oct 1, 2020 ===

* For each record and each boarding location in ICU , the transfer date and time is taken from the [[Transfer Ready DtTm tmp entry]].

* For each record, it is possible to have one or more entries of [[Transfer Ready DtTm]] corresponding to one or more boarding locations.

* For each record, it is possible to have one or more entries of [[Transfer Ready DtTm tmp entry]] corresponding to one or more boarding locations.

* if the patient moves to various locations, the '''first''' [[Transfer Ready DtTm]] from a [[Boarding Loc]] will be used

**As described in [[Transfer Ready DtTm tmp entry]], collectors make a notation about transfer ready in each separate boarding loc, looking solely at whether or not the patient was recorded as transfer ready from that location (i.e. collectors should not "carry over" knowledge about transfer readiness at prior boarding locs).

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***ALL 3 of these examples have the same # of wasted days.

*QUESTION: ''Why ~~record a transfer ready date/time from each boarding loc if~~ we ~~are~~ only ~~actually going to use the first of them~~?''

==== Why collect per ward in medicine when we only report per admission? ====

**ANSWER: ''To make it easier for data collectors. This way, collectors don't have to try and go back and figure out if there was or was not a transfer ready in a prior location. They only need be concerned about the notes and orders from THIS boarding loc.''

To make it easier for data collectors. This way, collectors don't have to try and go back and figure out if there was or was not a transfer ready in a prior location. They only need be concerned about the notes and orders from THIS boarding loc.

== IICU and H6 Reporting ==

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# to HSC IICU/H6, and

# to other wards/Home (including nursing home/long term care facility)

The [[Dispo]] location will be used to define the destination. As per Dr. Garland & Dr.Paunovic.

The [[Dispo]] location will be used to define the destination. As per Dr. Garland & Dr. Paunovic.

== Calculation when transfer time missing ==

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== Related Articles ==

== Legacy ==

{{LegacyContent

|explanation=xxx

|content=

=== Reporting change from 4 to 2 hrs ===

*Starting July 1, 2018 '''Transfer Delay Over 2 hours for Critical Care''' (i.e. subtract 2 hours instead of 4 hours from transfer delay as per instruction by Jodi Walker Tweed.)

}}

@@ Line 1: / Line 1: @@
 {{Data_element
 | field_name = Transfer Delay
-| element_description =  '''Transfer Delay''' is the difference between [[Dispo_DtTm]] and [[Transfer_Ready_DtTm]] in decimal days.
+| element_description =  '''Transfer Delay''' (a.k.a. '''wasted beds''') is the difference between [[Dispo_DtTm]] and [[Transfer_Ready_DtTm]] in decimal days.
-Another term used to call it is '''Wasted beds'''.
 | in_table = Created_Variables_Common table
 | data_type = number
@@ Line 20: / Line 19: @@
 }}
 == Use ==
-* The purpose is to determine the amount of time the patient is occupying a bed in an ICU setting when the patient is no longer needing that [[Level of care hierarchy| level of care]] (also refer as wasted bed) from the [[Transfer Ready DtTm]] until the [[Dispo DtTm]].
+* The purpose is to determine the amount of time the patient is occupying a bed in an ICU setting when the patient is no longer needing that [[Level of care hierarchy| level of care]] (also referred to as wasted bed) from the [[Transfer Ready DtTm]] until the [[Dispo DtTm]].
 == Definition Details ==
-*Starting July 1, 2018 '''Transfer Delay Over 2 hours for Critical Care''' (i.e. subtract 2 hours instead of 4 hours from transfer delay as per instruction by p:Jodi Walker Tweed.)
+Transfer Delay Over 2 hours for Critical Care (i.e. subtract 2 hrs from the time between ready for transfer ([[#Which Transfer Ready DtTm To Use?]] and [[Dispo DtTm]].
 == Which Transfer Ready DtTm To Use? ==
@@ Line 32: / Line 31: @@
 === Starting Oct 1, 2020 ===
 * For each record and each boarding location in ICU , the transfer date and time is taken from the [[Transfer Ready DtTm tmp entry]].
-* For each record, it is possible to have one or more entries of [[Transfer Ready DtTm]] corresponding to one or more boarding locations.
+* For each record, it is possible to have one or more entries of [[Transfer Ready DtTm tmp entry]] corresponding to one or more boarding locations.
 * if the patient moves to various locations, the '''first''' [[Transfer Ready DtTm]] from a [[Boarding Loc]] will be used
 **As described in [[Transfer Ready DtTm tmp entry]], collectors make a notation about transfer ready in each separate boarding loc, looking solely at whether or not the patient was recorded as transfer ready from that location (i.e. collectors should not "carry over" knowledge about transfer readiness at prior boarding locs).
@@ Line 41: / Line 40: @@
 ***ALL 3 of these examples have the same # of wasted days.
-*QUESTION: ''Why record a transfer ready date/time from each boarding loc if we are only actually going to use the first of them?''
+==== Why collect per ward in medicine when we only report per admission? ====
-**ANSWER: ''To make it easier for data collectors.  This way, collectors don't have to try and go back and figure out if there was or was not a transfer ready in a prior location.  They only need be concerned about the notes and orders from THIS boarding loc.''
+To make it easier for data collectors.  This way, collectors don't have to try and go back and figure out if there was or was not a transfer ready in a prior location.  They only need be concerned about the notes and orders from THIS boarding loc.
 == IICU and H6 Reporting ==
@@ Line 48: / Line 47: @@
 # to HSC IICU/H6, and
 # to other wards/Home (including nursing home/long term care facility)
-The [[Dispo]] location will be used to define the destination. As per Dr. Garland & Dr.Paunovic.
+The [[Dispo]] location will be used to define the destination. As per Dr. Garland & Dr. Paunovic.
 == Calculation when transfer time missing ==
@@ Line 78: / Line 77: @@
 == Related Articles ==
 {{Related Articles}}
+== Legacy ==
+{{LegacyContent
+|explanation=xxx
+|content=
+=== Reporting change from 4 to 2 hrs ===
+*Starting July 1, 2018 '''Transfer Delay Over 2 hours for Critical Care''' (i.e. subtract 2 hours instead of 4 hours from transfer delay as per instruction by Jodi Walker Tweed.)
+}}