Previous Location field: Difference between revisions

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* enter the option that most closely matches:  
* enter the option that most closely matches:  
{{PrePrevDispo listing}}
{{PrePrevDispo listing}}
* if the patient is a direct admission use <site>_UC, <Site>_ER, <site>_ward, <site>_Med, <site>_ICU or temporary location depending on the scenario (see direct admit scenarios below)
* if you know the situation but nothing on the list matches closely, enter '''other - known but not listed'''
* if you know the situation but nothing on the list matches closely, enter '''other - known but not listed'''
* if the situation is unknown, enter '''Not known'''
* if the situation is unknown, enter '''Not known'''
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If you know the location exactly, you can type it, otherwise click on the dropdown button to view the options
If you know the location exactly, you can type it, otherwise click on the dropdown button to view the options
=== Borrowed Bed Or Pt Boarding On Other Unit ===
For direct transfers within the Winnipeg region, should we enter the Last Boarding Location as the [[Previous Location]] ?  No because these are only temporary location.  Use the service taking care of the patient : '''<site>_Med''', GH-CC, HSC_MICU, HSC_SICU, HSC_IICU, STB MICU, STB_ICCS, STB_ACCU.
=== Direct Transfers Scenarios ===
# From Outside Winnipeg facilities - whether inpt or not, if they went to <own site> ER  (e.g. STB ER) for triage, previous location is <own site> ER (e.g. STB ER). If  they just stop by only  at <own site> ER, then previous location is the outside facility service - it does not matter if from ICU (e.g. Thompson ICU) or ER (e.g. Thompson ER) service of that outside facility as long as the pre-admit inpt has been filled up correctly (e.g. Thompson ICU) , then in TMP Boarding, put <own site> ER (e.g. STB ER)  as first boarding loc.
# From Within Winnipeg facilities - For transfers among HSC/STB/GRA, we are linking all the admissions so  we need to be specific for the sending and receiving service.  If already inpatients, and no in-between procedures,  pre-admit inpt is the same as previous location. if there is temporary location in-between, then previous location is equal to the temporary location (e.g. ER, OR, RR, Cath Lab, Dialysis, Radiology).  If not yet an inpt and coming from <other site> ER then previous location is <other site> ER.
# When to use generic ward -  If the patient from our sending service (e.g. HSC SICU)  was discharged to a service we are not collecting (e.g. Step down ward) and then transfer again to the service (e.g. HSC Med) we are collecting, having no in-between procedure then the dispo of sending service, pre-admit inpt and previous location are all generic ward (e.g. HSC ward).  For the case having in-between procedure, say, sending service is HSC Med  to a surgery ward, then OR, then to HSC SICU, the dispo of the sending and pre-admit inpt are generic ward (e.g. HSC ward) and previous location is the temporary location e.g.  HSC OR.
#For sites no longer collected ie. CON/OAK/VIC - inpatients from CON, OAK, VIC who are direct transfers to HSC/STB/GRA, the pre-admit inpt will  '''not''' be N/A and the previous location is the same as the pre-admit inpt even if the patient spends time in site's UC prior to transfer. If not yet an inpt from CON/OAK/VIC and transfers only from their UC triage, then previous location is the CON/OAK/VIC UC. 
{{Location dropdown cleanup}}


=== Where to find this information ===
=== Where to find this information ===
If patient came from a different Winnipeg hospital this should be recorded in the  “Visit History” on the EPR, but sometimes it is missing. Can also use paper chart sent to your hospital from the sending hospital for information.
If patient came from a different Winnipeg hospital this should be recorded in the  “Visit History” on the EPR, but sometimes it is missing. Can also use paper chart sent to your hospital from the sending hospital for information.


=== Exceptions ===
=== Borrowed Bed Or Pt Boarding On Other Unit ===
==== Data collection units that have a '''mix''' of different physician serve types ====
* Use the [[Boarding Loc]] of the service taking care of the patient:<site>_Med, GH-CC, HSC_MICU, HSC_SICU, HSC_IICU, STB MICU, STB_ICCS, STB_ACCU.
We have a few units in the Region that have a mix of different services (internal medicine, surgical, family medicine etc).  


*HSC_B3 - is a mix of day surgery & internal medicine patients
=== Direct Admit Scenarios ===
* any others?
*inpatients from CON, OAK, VIC who are direct transfers to HSC/STB/GRA, the [[Pre-admit Inpatient Institution]] and [[Previous Location]] will be <site>_ward, even if the patient spends time in that site's UC prior to transfer. If not yet an inpatient from CON/OAK/VIC and transfer is from their UC, then previous location is the <site>_UC. 
*For direct transfers from HSC/STB/GRA, if an inpatient, and no in-between temporary location, the [[Pre-admit Inpatient Institution]] is the same as [[Previous Location]] (e.g. GH_med, or HSC_MICU) if there is a temporary location in-between, then [[Previous Location]] is equal to the temporary location (e.g. OR, RR, Cath Lab, Dialysis, IR or Other procedure location) and [[Pre-admit Inpatient Institution]] would be the previous <site>_inpatient location
**If not yet an inpatient from HSC/STB/GRA and coming from <other site> ER then previous location is <other site> ER, and the [[Pre-admit Inpatient Institution]] would be not applicable
*If a homeless patient is admitted directly then code them as admitted from home.
*If a patient is admitted directly from prison, jail or a correctional institution, code this as an admission from '''"Institution NOS"'''. See [[Prison / Jail / Correctional Institution]] for additional info.


For patients from these units:  
=== Exceptions ===
* If patient was an internal medicine there, enter <site>_Med
*We have a few units in the Region that have a mix of different services (internal medicine, surgical, family medicine etc). For patients from these units:  
* If '''not''' a internal medicine patient, enter the <site>_Ward
** If patient was under internal medicine service, enter <site>_Med
** If '''not''' under internal medicine service, enter the <site>_Ward
*for Riverview and Deer Lodge [[Chronic Health Facility]] see [[Pre-admit Inpatient Institution field]] for the various wards that are considered an inpatient location
*patients from POU (psych evaluation unit @ HSC) as "HSC ambulatory care" - This is not an inpatient ward.
*patients admitted from day surgery units, enter <site>_Ward, e.g. HSC Ward (this is not considered to be an inpatient location) see [[Pre-admit Inpatient Institution field]]


==== from HSC psych unit ====  
==== Temporary locations ====  
Code patient from POU (pysch evaluation unit @ HSC) as "HSC ambulatory care" - it's not an inpatient ward.
*for patients from the Dialysis unit, use that <site>_Dialysis as previous location. [[Pre-admit Inpatient Institution]] would be the unit they came from right before, if applicable.
*patients from the cardiac cath lab, enter STB Cardiac Cath Lab, [[Pre-admit Inpatient Institution]] would be the unit they came from right before, if applicable.
*<site>_Interventional Radiology, [[Pre-admit Inpatient Institution]] would be the unit they came from right before, if applicable.
*<site>_OR, [[Pre-admit Inpatient Institution]] would be the unit they came from right before, if applicable.
*<site>_recovery (PACU),  [[Pre-admit Inpatient Institution]] would be the unit they came from right before, if applicable.
*Other procedure location, [[Pre-admit Inpatient Institution]] would be the unit they came from right before, if applicable.


==== Dialysis unit as previous location ====
For patient from Dialysis unit, use that unit as previous location. [[Pre acute living situation field]] would be the unit they came from right before, if applicable.


==== Heart Cath Lab vs OR as previous location ====
{{Location dropdown cleanup}}
When a procedure (e.g valve replacement) is done in the cath lab before the pt arrives on your unit, enter Cath Lab if done in Cath Lab and put OR if done in OR.
 
==== Patients from day surgery ====
For patients admitted from day surgery units, enter:
*[[Previous Location]] - <site>_Ward, e.g. HSC Ward (this is not considered to be an inpatient location)  see [[Pre-admit Inpatient Institution field]]
 
==== [[HSC Stepdown Units]] ====
 
==== [[Homeless]] Patients ====
If a homeless patient is admitted directly then code them as admitted from home. Usually they would be via ER, of course, and you'd code them as that.
 
==== [[Prison / Jail / Correctional Institution]] ====
If a patient is admitted from prison, jail or a correctional institution, code this as an admission from '''"Institution NOS"'''.
 
See [[Prison / Jail / Correctional Institution]] for additional info.


== Data Use ==
== Data Use ==

Revision as of 12:15, 15 October 2024

Data Element (edit)
Field Name: Previous_Location
CCMDB Label: Previous Location
CCMDB tab: Dispo
Table: L_Log table
Data type: number
Length: long integer
Program: Med and CC
Created/Raw: Raw
Start Date: 2016-07-01
End Date: 2300-01-01
Sort Index: 37
Data Dependencies(Reports/Indicators/Data Elements): No results

The most recent previous physical location (with #exceptions) of a patient before arriving at the collection location.

  • SMW

Legacy implementation right in the table

  • Cargo


  • Categories
  • Forms


Collection Instruction

For each patient,

  • enter the option that most closely matches:
  • if the patient is a direct admission use <site>_UC, <Site>_ER, <site>_ward, <site>_Med, <site>_ICU or temporary location depending on the scenario (see direct admit scenarios below)
  • if you know the situation but nothing on the list matches closely, enter other - known but not listed
  • if the situation is unknown, enter Not known
  • if the patient is in ER under a service we do not collect ie. cardiology, surgery etc use <site>_ER

If you know the location exactly, you can type it, otherwise click on the dropdown button to view the options

Where to find this information

If patient came from a different Winnipeg hospital this should be recorded in the “Visit History” on the EPR, but sometimes it is missing. Can also use paper chart sent to your hospital from the sending hospital for information.

Borrowed Bed Or Pt Boarding On Other Unit

  • Use the Boarding Loc of the service taking care of the patient:<site>_Med, GH-CC, HSC_MICU, HSC_SICU, HSC_IICU, STB MICU, STB_ICCS, STB_ACCU.

Direct Admit Scenarios

  • inpatients from CON, OAK, VIC who are direct transfers to HSC/STB/GRA, the Pre-admit Inpatient Institution and Previous Location will be <site>_ward, even if the patient spends time in that site's UC prior to transfer. If not yet an inpatient from CON/OAK/VIC and transfer is from their UC, then previous location is the <site>_UC.
  • For direct transfers from HSC/STB/GRA, if an inpatient, and no in-between temporary location, the Pre-admit Inpatient Institution is the same as Previous Location (e.g. GH_med, or HSC_MICU) if there is a temporary location in-between, then Previous Location is equal to the temporary location (e.g. OR, RR, Cath Lab, Dialysis, IR or Other procedure location) and Pre-admit Inpatient Institution would be the previous <site>_inpatient location
    • If not yet an inpatient from HSC/STB/GRA and coming from <other site> ER then previous location is <other site> ER, and the Pre-admit Inpatient Institution would be not applicable
  • If a homeless patient is admitted directly then code them as admitted from home.
  • If a patient is admitted directly from prison, jail or a correctional institution, code this as an admission from "Institution NOS". See Prison / Jail / Correctional Institution for additional info.

Exceptions

  • We have a few units in the Region that have a mix of different services (internal medicine, surgical, family medicine etc). For patients from these units:
    • If patient was under internal medicine service, enter <site>_Med
    • If not under internal medicine service, enter the <site>_Ward
  • for Riverview and Deer Lodge Chronic Health Facility see Pre-admit Inpatient Institution field for the various wards that are considered an inpatient location
  • patients from POU (psych evaluation unit @ HSC) as "HSC ambulatory care" - This is not an inpatient ward.
  • patients admitted from day surgery units, enter <site>_Ward, e.g. HSC Ward (this is not considered to be an inpatient location) see Pre-admit Inpatient Institution field

Temporary locations


"Can we remove the items that are no longer Service/Locations, Previous Locations, Pre-admit Inpatient Institutions or dispo locations from the dropdowns?"

We can and will remove them, but that can only happen once no more laptops use them. We will need to keep track of this and then remove them when ready. If I removed them now, then any box that currently has them enter would misbehave.

SQL query of what is currently available    
SELECT s_dispo.location_name, s_dispo.Site, s_dispo.active, s_dispo.inpatient, s_dispo.previous_location, s_dispo.s_location, s_dispo.dispo
FROM s_dispo
WHERE (((s_dispo.Site)>"") AND ((s_dispo.active)=True) AND ((s_dispo.inpatient)=True)) OR (((s_dispo.Site)>"") AND ((s_dispo.active)=True) AND ((s_dispo.previous_location)=True)) OR (((s_dispo.Site)>"") AND ((s_dispo.active)=True) AND ((s_dispo.s_location)=True)) OR (((s_dispo.Site)>"") AND ((s_dispo.active)=True) AND ((s_dispo.dispo)=True));
  • query of what is currently used: query z_s_dispo_inactivatable

Data Use

This data is used for tracking where most of the traffic on our units/wards comes from. For starters it will be reported to Critical Care (Randy Martin), who was also the requestor of this data.

Cross Checks

Data Integrity Checks (automatic list)

 AppStatus
Check pre acute consistentCCMDB.accdbdeclined
Query check_tmp_ER_Boarding_Loc_should_exist_if_from_ERCCMDB.accdbdeclined
Function Validate Previous LocationCCMDB.accdbimplemented
Query check prev pre-admit consistentCCMDB.accdbimplemented
Check function previous NE LocationCCMDB.accdbimplemented
Query check CCI from OR no CCICCMDB.accdbimplemented
Query check pt from ERCCMDB.accdbimplemented
Query Check_from_ED_and_prev_location_same_siteCCMDB.accdbready to implement
Query check previous location vs service inconsistentCCMDB.accdbretired
Check Accept Loc ParkCCMDB.accdbretired
Query check VAP admit must be from ICUCCMDB.accdbretired
Link suspect mismatch from ours incomplete queryCentralized data front end.accdbimplemented
Link_suspect_not_same_visitAdmitDtTm queryCentralized data front end.accdbimplemented
Link_suspect_visitAdmitDtTm_mult_to-from-home queryCentralized data front end.accdbready to implement
Query cardiac arrest throughout admissionCentralized data front end.accdbready to implement

Implementation

The field is populated with options from the s_dispo table.

Legacy

This field is part of the 2016 Time and Place changes.

It a combination of our previous

Related articles

Related articles:
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