Previous Service field: Difference between revisions

how about Medicine pts ER to ward
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For '''critical care''' this concept is related to [[Service Sending to ICU]].  
For '''critical care''' this concept is related to [[Service Sending to ICU]].  
'' for tracking which service is taking care of a patient in STB CCU, see [[CCU Service Tracking]] instead
== COPY FROM SENDING SERVICE USING THIS TO UPDATE THIS ARTICLE ==
bELOW WILL GET REMOVED AS IT IS UPDATED INTO ARTICLE ABOVE.[[User:JMojica|JMojica]] 15:54, 2016 April 26 (CDT)
== Purpose ==
To identify the "sending service" or "originating service" for those patients's who where already in a '''prior''' '''inpatient''' location before coming to the ICU. (refer to Task Meeting Minutes April 13,2015). 
Note:  This is different to the "service of the attending" during the patient's stay in ICU.
== Data Collection Instructions ==
When you enter a new ICU patient a "Srv to ICU" will be automatically generated with item '''zz_enter'''. Before you can check the tmp checkbox this item has to be changed to one of the following:
* one of the sending services as per dropdown if applicable
* '''z_not an inpatient''' - if the patient was not an inpatient, eg came from home, usually only happens in CCU e.g. if STB cardiologist admits based on phone call; this is not for pts coming from angio, these would be from service cardiology
* '''z_not applicable''' - pt moving from one ICU to another (including from CCU, '''don't use cardiology'' for this)
* '''z_other''' - any others such as EENT surgery at STB
* '''z_unknown''' - if unknown service for patients coming from ward or OR or RR
*  - the entry automatically put in for new CC patients, not accepted as final entry when checking tmp checkbox
The other tmp fields are '''not used''' (except in "not applicable" scenario)
=== special case - ER -> OR -> ICU ===
* Scenario: The service is consulted in emergency, an OR or procedure is planned and an ICU stay is planned post-op but the patient was not on an inpatient ward.
* Collection: If the patient '''had been accepted to a service''', ie admitted and therefore now an inpatient, even if they were still physically in the ER, then code Service Sending with the specific service. 
{{discussion}} Would pt ever go to OR without having been accepted? Ttenbergen 17:39, 2016 March 21 (CDT)
=== How to determine? ===
Go and find out. Ask on the ward. Talk to people. In EPR there is a pt provider section that shows what service(s) the pt has been under, as well there is often an indication of service change in the EPR orders section.
== Start/End Dates ==
*Start: 2015-06-22
*End: there is no planned end date
=={{CCMDB Data Integrity Checks}}==
When you enter a new ICU patient a "Srv to ICU" will be automatically generated.
* If that record is missing, you can't checkbox tmp
* If that record has "enter" or "" as item, you can't checkbox tmp
=== currently impossible ===
* Query ''s_tmp_Service_Sending_to_ICU_duplicate'' - error if more than one entry per patient Ttenbergen 15:35, 2015 June 22 (CDT)
* Query ''s_tmp_Service_Sending_to_ICU'' - Error if:
** not admitted from inpatient location (([[S AdmitDischarge table|S AdmitDischarge]].inpatient = true)) but has "Srv to ICU" entry
** admitted from inpatient location and one of
*** no "Srv to ICU" entry
*** has "Srv to ICU" = "z_not applicable" and no comment
Right now our consistency check would not allow someone from other hosp via ER. We won't be able to do this check until we have [[Pre-admit Inpatient Institution field]]. I will take that check out for now. Ttenbergen 11:50, 2015 June 24 (CDT) {{discussion}}
== SAS Program ==
* The data is saved in table L_TmpV2 under project "Srv to ICU" of the centralized_data.mdb
* The SAS program that reads the data is in X:\Julie\SAS_CFE\CFE_macros\CFE_ServiceSendingtoICU.sas
== See also ==
* [[STB Cardiac Care patients]]
* [[Registry Patient Type]]
== to do before go live ==
* [[Registry_Patient_Type#C-Cardiac_Type]] - awaiting confirmation
** "Once this tmp study section is active we can go back to making the pt type relate to the type of diagnosis." (Laura K)
*** need to look into Ttenbergen 16:58, 2016 March 21 (CDT)
[[Category: L_TmpV2 Data]]
[[Category: Special Short Term Projects]]
[[Category: All Projects ICU only]]
[[Category: Dispo]]
[[Category: Site Specific Collection Guide]]
[[Category: St Boniface Hospital Office (Critical Care)]]
== why a STB CC topic? ==
{{discussion}} why would this be in the STB Critical Care category specifically? Or the Site Specific Collection Guide? If not answered by next review I will remove category. Ttenbergen 16:58, 2016 March 21 (CDT)


[[Category: 2016 Time and Place changes]]
[[Category: 2016 Time and Place changes]]
[[Category: Admit/Discharge]]
[[Category: Admit/Discharge]]