BedHeldEnd DtTm: Difference between revisions
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Collect for all patients where beds are held due to '''[[AMA]]''' or procedure at other sites. | Collect for all patients where beds are held due to '''[[AMA]]''' or procedure at other sites. | ||
This will '''only''' be recorded in the situations when: | This will '''only''' be recorded in the situations when: | ||
* patient leaves AMA and the bed is held for a bit hoping they come back (but they never do so) | * patient leaves AMA '''and the bed is held for a bit hoping they come back (but they never do so)''' (ie this doesn't apply to AMAs who sign out and we know they won't return) | ||
* patient goes elsewhere for a procedure expecting them to return so bed is held but they never do come back. | * patient goes elsewhere for a procedure expecting them to return so bed is held but they never do come back. | ||
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== Consistency Checks == | == Consistency Checks == | ||
{{TT | | {{TT | | ||
We should likely add one for complete and undeleted records such that if [[Dispo]] | We should likely add one for complete and undeleted records such that if AMA is entered for this, [[Dispo]] must be AMA. Converse is not true in case of AMA who signs out. [[User:Ttenbergen|Ttenbergen]] 12:27, 2022 December 8 (CST) | ||
}} | }} | ||
{{Data Integrity Check List|}} | {{Data Integrity Check List|}} | ||
Revision as of 14:15, 2022 December 8
| Projects | |
| Active?: | planned |
| Program: | CC and Med |
| Requestor: | ??? |
| Collection start: | 2023-01-01 |
| Collection end: | |
Data Collection
Collect for all patients where beds are held due to AMA or procedure at other sites. This will only be recorded in the situations when:
- patient leaves AMA and the bed is held for a bit hoping they come back (but they never do so) (ie this doesn't apply to AMAs who sign out and we know they won't return)
- patient goes elsewhere for a procedure expecting them to return so bed is held but they never do come back.
Collection Instructions
- Project :BedHeldEnd DtTm
- Items: AMA or Procedure
- Date (field E): Discharge date as per ADT (ie when the bed was released)
- Time (field M): Discharge time as per ADT (ie when the bed was released)
- Not used: Integer, Real, Checkbox, Comment
Sources
Use the discharge dttm as per Cognos2 Ender/ADT.
Background
As discussed at JALT, the frequency of people leaving AMA (esp from ward) is not low. And, per Lisa, most of these are without notice. Thus it is not a trivial issue that there is a nontrivial difference between when the patient actually stops being under care vs. when the bed is released for reassignment.
Our previous instructions were to note in the Dispo DtTm field when the person left AMA, or was noted to be gone and assumed AMA. If a bed is "held" and the patient indeed returns, goes back into that bed without being readmitted (because the bed was held), then this isn't to be considered to be an AMA. This follows the same kind of reasoning as Visits to temporary locations. This meant we had no way to report bed times lost to AMA.
We then realized that this issue is the same for bed times lost to beds held when a patient is sent to another hospital for a procedure, expecting to return (so the bed from the sending site is held) but then does not return.
These 2 situations are easy for the DCs to identify and they always do so anyway, so we decided to track this to allow us to report on this more meaningfully.
So we will distinguish between:
- (a) Actual time under care, which is from Admit DtTm to the patient's Dispo DtTm -- we'll call this the patient's length of stay
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which LOS link? Which Indicators or Reports? |
- (b) What we'll call "Bed Assigned Time", i.e. from Admit DtTm to the time when the bed is released for reassignment, which we will call "BedHeldEndTime". This latter is generally available from Cognos (ADT)
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which LOS link? Which Indicators or Reports? |
Collection parameters
- End Date: planned as continuous collection without an end date
Data Use
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Consistency Checks
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We should likely add one for complete and undeleted records such that if AMA is entered for this, Dispo must be AMA. Converse is not true in case of AMA who signs out. Ttenbergen 12:27, 2022 December 8 (CST) |
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Data Integrity Checks (automatic list)
| App | Status | |
|---|---|---|
| Query check tmp BedHeld | CCMDB.accdb | implemented |
To do
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Log
- 2022-12-08 made page to validate