EMIP: Difference between revisions
Jump to navigation
Jump to search
TOstryzniuk (talk | contribs) m (→EMIP --> ICU: minor) |
Ttenbergen (talk | contribs) (some questions and some clarifications) |
||
| Line 1: | Line 1: | ||
EMIP stands for '''E'''mergency '''M'''edicine "'''IN'''" patient and is used as a [[Location field|location]] in the Medicine database. It is used to as location for patients who are admitted to the medicine service and spend their entire hospital admission in the ER (emergency department) while under the care of Medicine Service attending physician. | EMIP stands for '''E'''mergency '''M'''edicine "'''IN'''" patient and is used as a [[Location field|location]] / in the Medicine database. It is used to as location for patients who are admitted to the medicine service and spend their entire hospital admission in the ER (emergency department) while under the care of Medicine Service attending physician. | ||
This sort of thing happens at the '''Victoria General Hospital''' and the '''Grace General Hospital''' | This sort of thing happens at the '''Victoria General Hospital''' and the '''Grace General Hospital''' | ||
== | == Collection Instructions == | ||
* [[Service/Location field]] - your EMIP | |||
* [[Previous Service field]] - likely emergency medicine, unless some other service accepted them prior to medicine, and was never able to get them out of the ER either; | |||
** {{discussion}} actually are those EMIPs? Ttenbergen 08:36, 2016 May 11 (CDT) | |||
* [[Accept DtTm field]] - the time Medicine accepted them, i.e. the time they became an EMIP | |||
* [[Arrive DtTm field]] - time patient physically arrived in the ER | |||
* [[Previous Location field]] - use normal instructions | |||
=== do EMIPs have arrive times? === | |||
(as moved from other article) | |||
*EMIP pts will not have an arrive date or time as they do not physically leave the ER. | |||
** They do have arrive times, they arrived in the ER, right? CCMDB won't let you check registry complete if you leave it out. I am moving this discussion to the [[EMIP]] article, Steph please delete this discussion once you have seen it. Ttenbergen 08:36, 2016 May 11 (CDT) | |||
== EMIP | == EMIP as previous location for ICU == | ||
{{discussion}} | {{discussion}} | ||
What if EMIP patient doesn't come to medicine ward (making them no longer EMIP) but deteriorates and is admitted to ICU? Do you collect these as EMIPs? Do you omit them from collection? Discussed with Trish but we did not know what collectors do with these. | What if EMIP patient doesn't come to medicine ward (making them no longer EMIP) but deteriorates and is admitted to ICU? Do you collect these as EMIPs? Do you omit them from collection? Discussed with Trish but we did not know what collectors do with these. | ||
| Line 12: | Line 22: | ||
**The [[Previous Location field]] is the most recent physical location of a patient before they arrived at the collection location. EMIP is not a physical location. This patient would be admitted from a previous location of ER. | **The [[Previous Location field]] is the most recent physical location of a patient before they arrived at the collection location. EMIP is not a physical location. This patient would be admitted from a previous location of ER. | ||
**[[Service Sending to ICU | Sending Service]] is the service that the patient was under the care of "prior to" being sent to collection location. Main office will review if patient is an EMIP then goes to ICU, does ICU reports want to note sending service to be ''Medicine Service'' in these circumstances? Will let you know. | **[[Service Sending to ICU | Sending Service]] is the service that the patient was under the care of "prior to" being sent to collection location. Main office will review if patient is an EMIP then goes to ICU, does ICU reports want to note sending service to be ''Medicine Service'' in these circumstances? Will let you know. | ||
*when a medicine patient deteriorates in the ER and is then admitted to ICU, we do not enter them as an EMIP patient for two reasons,; they are no longer.by definition an EMIP patient, and the patient will be captured by ICU data collection [[User:Lkaita|Lisa Kaita]] 22:14, 2016 May 9 (CDT) | |||
* I concur with Lisa --[[User:LKolesar|LKolesar]] 06:42, 2016 May 10 (CDT) | |||
== Do these happen for ICU? == | |||
{{discussion}} Do these ever happen for ICU? If they don't, then we should change the instructions to no longer say Medicine only because it's irrelevant. If they '''do''' happen, then we should likely include them in collection, no? Is there any reason to have different instructions? Ttenbergen 08:36, 2016 May 11 (CDT) | |||
== Locations == | == Locations == | ||
=== [[VIC EMIP]] === | |||
{{discussion}} How are these identified at this location? Ttenbergen 08:36, 2016 May 11 (CDT) | |||
=== [[GRA EMIP]] === | |||
{{discussion}} How are these identified at this location? Ttenbergen 08:36, 2016 May 11 (CDT) | |||
=== [[STB_EMIP]]=== | |||
{{discussion}} How are these identified at this location? Ttenbergen 08:36, 2016 May 11 (CDT) | |||
== Serial numbers used == | |||
Patients in EMIP have their own [[serial number]]s starting at number 1. | |||
== Related Articles == | == Related Articles == | ||
Revision as of 08:36, 2016 May 11
EMIP stands for Emergency Medicine "IN" patient and is used as a location / in the Medicine database. It is used to as location for patients who are admitted to the medicine service and spend their entire hospital admission in the ER (emergency department) while under the care of Medicine Service attending physician. This sort of thing happens at the Victoria General Hospital and the Grace General Hospital
Collection Instructions
- Service/Location field - your EMIP
- Previous Service field - likely emergency medicine, unless some other service accepted them prior to medicine, and was never able to get them out of the ER either;
- Template:Discussion actually are those EMIPs? Ttenbergen 08:36, 2016 May 11 (CDT)
- Accept DtTm field - the time Medicine accepted them, i.e. the time they became an EMIP
- Arrive DtTm field - time patient physically arrived in the ER
- Previous Location field - use normal instructions
do EMIPs have arrive times?
(as moved from other article)
- EMIP pts will not have an arrive date or time as they do not physically leave the ER.
- They do have arrive times, they arrived in the ER, right? CCMDB won't let you check registry complete if you leave it out. I am moving this discussion to the EMIP article, Steph please delete this discussion once you have seen it. Ttenbergen 08:36, 2016 May 11 (CDT)
EMIP as previous location for ICU
Template:Discussion What if EMIP patient doesn't come to medicine ward (making them no longer EMIP) but deteriorates and is admitted to ICU? Do you collect these as EMIPs? Do you omit them from collection? Discussed with Trish but we did not know what collectors do with these. The answer to this will also define whether or not "***_EMIP" needs to be available as in Previous Location field. Ttenbergen 17:34, 2016 May 9 (CDT)
- EMIPs are by definition Emergency Medicine Inpatients and never leave the Emergency Department until discharge. Their entire LOS is in the ER. They are not entered into the database until they have been discharged. If they are moved to any other unit, they are no longer EMIPs but are entered into the database for Medicine or ICU as appropriate. EMIP cannot be a previous location.
- The Previous Location field is the most recent physical location of a patient before they arrived at the collection location. EMIP is not a physical location. This patient would be admitted from a previous location of ER.
- Sending Service is the service that the patient was under the care of "prior to" being sent to collection location. Main office will review if patient is an EMIP then goes to ICU, does ICU reports want to note sending service to be Medicine Service in these circumstances? Will let you know.
- when a medicine patient deteriorates in the ER and is then admitted to ICU, we do not enter them as an EMIP patient for two reasons,; they are no longer.by definition an EMIP patient, and the patient will be captured by ICU data collection Lisa Kaita 22:14, 2016 May 9 (CDT)
- I concur with Lisa --LKolesar 06:42, 2016 May 10 (CDT)
Do these happen for ICU?
Template:Discussion Do these ever happen for ICU? If they don't, then we should change the instructions to no longer say Medicine only because it's irrelevant. If they do happen, then we should likely include them in collection, no? Is there any reason to have different instructions? Ttenbergen 08:36, 2016 May 11 (CDT)
Locations
VIC EMIP
Template:Discussion How are these identified at this location? Ttenbergen 08:36, 2016 May 11 (CDT)
GRA EMIP
Template:Discussion How are these identified at this location? Ttenbergen 08:36, 2016 May 11 (CDT)
STB_EMIP
Template:Discussion How are these identified at this location? Ttenbergen 08:36, 2016 May 11 (CDT)
Serial numbers used
Patients in EMIP have their own serial numbers starting at number 1.