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| ''This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear. '' | | * revery |
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| | ''This field is currently being implemented, please check the instructions and put a discussion for anything that isn't clear. '' |
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| The [[Previous_Service field]] contains info about the service taking care of the patient prior to admission to the [[Service/Location field| current location]]. | | The [[Previous_Service field]] contains info about the service taking care of the patient prior to admission to the [[Service/Location field| current location]]. |
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| == Purpose ==
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| The purpose of this field is to integrate the "sending service" or "originating service" for those patients's who where already in a '''prior''' '''inpatient''' location before coming to the ICU and the patients coming from the Emergency Department and were accepted to Medicine service.
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| Note: This is different to the "service of the attending" during the patient's stay in ICU or Ward.
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| == Collection Instruction == | | == Collection Instruction == |
| For each patient, | | For each patient, |
| * enter the option that most closely matches | | * enter the option that most closely matches |
| * for Critical Care patient, follow the guideline below | | * for medicine ward-to-ward moves, enter "medicine" as previous service (can't just omit because then we would not know if omitted intentionally") |
| ** any of the option - if the patient is coming from a ward
| | * if the service is not listed, code “other” |
| ** not an inpatient - if the patient was not an inpatient and not from ER, 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 | | ** in these cases we don't care about the details; if we see too many others we may add additional options in future |
| **not applicable - pt moving from one ICU to another ICU (including from CCU, don't use cardiology for this) | | * if previous service is not applicable, enter '''not applicable''' |
| **other - any others such as EENT surgery at STB
| | ** {{discussion}} under what circumstances would that be? Ttenbergen 12:14, 2016 March 21 (CDT) Ttenbergen 20:08, 2016 April 18 (CDT) |
| **unknown - if unknown service for patients coming from ward or OR or RR | |
| **emergency medicine - if from ER and not an in-patient
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| *for Medicine patient, follow the guideline below
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| **emergency medicine - if from ER | |
| **not applicable - pt moving from an ICU or another ward (i.e. wards we are collecting or not collecting)
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| == Questions == | | == Questions == |
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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]]. |
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| '' for tracking which service is taking care of a patient in STB CCU, see [[CCU Service Tracking]] instead
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| == COPY FROM SENDING SERVICE USING THIS TO UPDATE THIS ARTICLE ==
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| bELOW WILL GET REMOVED AS IT IS UPDATED INTO ARTICLE ABOVE.[[User:JMojica|JMojica]] 15:54, 2016 April 26 (CDT)
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| == Purpose ==
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| 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).
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| Note: This is different to the "service of the attending" during the patient's stay in ICU.
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| == Data Collection Instructions ==
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| 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:
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| * one of the sending services as per dropdown if applicable
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| * '''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
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| * '''z_not applicable''' - pt moving from one ICU to another (including from CCU, '''don't use cardiology'' for this)
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| * '''z_other''' - any others such as EENT surgery at STB
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| * '''z_unknown''' - if unknown service for patients coming from ward or OR or RR
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| * - the entry automatically put in for new CC patients, not accepted as final entry when checking tmp checkbox
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| The other tmp fields are '''not used''' (except in "not applicable" scenario)
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| === special case - ER -> OR -> ICU ===
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| * 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.
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| * 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.
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| {{discussion}} Would pt ever go to OR without having been accepted? Ttenbergen 17:39, 2016 March 21 (CDT)
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| === How to determine? ===
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| 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.
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| == Start/End Dates ==
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| *Start: 2015-06-22
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| *End: there is no planned end date
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| =={{CCMDB Data Integrity Checks}}==
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| When you enter a new ICU patient a "Srv to ICU" will be automatically generated.
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| * If that record is missing, you can't checkbox tmp
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| * If that record has "enter" or "" as item, you can't checkbox tmp
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| === currently impossible ===
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| * Query ''s_tmp_Service_Sending_to_ICU_duplicate'' - error if more than one entry per patient Ttenbergen 15:35, 2015 June 22 (CDT)
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| * Query ''s_tmp_Service_Sending_to_ICU'' - Error if:
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| ** not admitted from inpatient location (([[S AdmitDischarge table|S AdmitDischarge]].inpatient = true)) but has "Srv to ICU" entry
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| ** admitted from inpatient location and one of
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| *** no "Srv to ICU" entry
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| *** has "Srv to ICU" = "z_not applicable" and no comment
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| 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}}
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| == SAS Program ==
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| * The data is saved in table L_TmpV2 under project "Srv to ICU" of the centralized_data.mdb
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| * The SAS program that reads the data is in X:\Julie\SAS_CFE\CFE_macros\CFE_ServiceSendingtoICU.sas
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| == See also ==
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| * [[STB Cardiac Care patients]]
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| * [[Registry Patient Type]]
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| == to do before go live ==
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| * [[Registry_Patient_Type#C-Cardiac_Type]] - awaiting confirmation
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| ** "Once this tmp study section is active we can go back to making the pt type relate to the type of diagnosis." (Laura K)
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| *** need to look into Ttenbergen 16:58, 2016 March 21 (CDT)
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| [[Category: L_TmpV2 Data]]
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| [[Category: Special Short Term Projects]]
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| [[Category: All Projects ICU only]]
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| [[Category: Dispo]]
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| [[Category: Site Specific Collection Guide]]
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| [[Category: St Boniface Hospital Office (Critical Care)]]
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| == why a STB CC topic? ==
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| {{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)
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| [[Category: 2016 Time and Place changes]] | | [[Category: 2016 Time and Place changes]] |
| [[Category: Admit/Discharge]] | | [[Category: Admit/Discharge]] |