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| * For EMIP pts, you cannot put discharge to an ER, so if that is where they went, put the place they went after ER (usually a ward). Do not put a transfer ready date and time unless the pt is going home. Just put "no transfer ready" in the tmp. | | * For EMIP pts, you cannot put discharge to an ER, so if that is where they went, put the place they went after ER (usually a ward). Do not put a transfer ready date and time unless the pt is going home. Just put "no transfer ready" in the tmp. |
| | | Definition of EMIP: |
| ==== Discussion: EMIPs going to family medicine and then some ====
| | 1. Pt has an order that medicine has accepted the patient while still in ER. |
| {{discussion}}
| | 2. The patient either is discharged from ER to home or any other out of hospital location. |
| *If the pt in ER was accepted by medicine but ends up going to the ward under family medicine, do not include these patients in the database.
| | *OR.. the patient is transferred within the hospital directly to a different service because Medicine decides that they will not take the pt but the patient needs different care. Examples: Palliative care take over the care; ICMS takes over the care; Surgery takes over the care; Gynecology takes over care; etc. |
| ** {{discussion}} These are not EMIPs?! Is that true everywhere? If so the info needs to move to [[EMIP]]. Ttenbergen 13:15, 2016 October 26 (CDT)
| | *These patients are only under medicine while they reside in ER. Once they leave ER they are either going out of hospital or going to a different service within the hospital. |
| ***the definition of an EMIP for the purposes of our database is a pt that is located in ER, gets accepted by medicine but never moves to any ward of that hospital. --[[User:LKolesar|LKolesar]] 08:32, 2016 November 3 (CDT)
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| **** Ah. Old definition. That's exactly why we should not have details addressed in other articles duplicated in the local instruction, they get left behind when these definitions change. See [[EMIP]]: "patients who are admitted to the medicine service and spend their entire admission under the medicine service in the ER". So, someone can be EMIP and then get admitted to ICU, where our ICU collectors should catch then, and would need to use e.g. STB_EMIP as previous location. The question is, how do we want to treat patients who are EMIP but then end up on a family or surgery ward? Will flag that for Julie and Trish. Ttenbergen 19:16, 2016 November 3 (CDT) | |
| ****When we do overflows (instructions how to retrieve this list on EPR are listed in this article above), then we see if these patients have been accepted to medicine (in ER) but have been put on a non-acute-medicine or non medicine service ward for their entire stay: this is the definition of an overflow. --[[User:LKolesar|LKolesar]] 07:50, 2016 November 4 (CDT)
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| ***** We are talking about two different things. You are talking about a patient who continues to be attended to by medicine after the ER, but not in the usual physical locations; those are overflows. I am talking about a patient who is attended to by medicine in the ER, but who is then admitted to a non-medicine ward/unit '''and attended to by that non-medicine service'''. Example would be a patient who deteriorates and goes to ICU. We want to track those patients as EMIPs. Ttenbergen 11:42, 2016 November 7 (CST)
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| *****When a patient arrives in MICU I will always check the transfer orders. It clearly shows there if the pt had been accepted by medicine service in ER before the pt came to the ICU. In this case I will put STB EMIP as the previous location. (this is very rare) --[[User:LKolesar|LKolesar]] 08:08, 2016 November 10 (CST) | |
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| ==Medicine Overflow Patients== | | ==Medicine Overflow Patients== |